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Individual
DR. BRIAN SMITH
Active
Individual
DR. BRIAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.134016
OH
207RH0000X
Hematology (Internal Medicine) Physician
Primary
2021011406
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
05/19/2015
Last updated
07/26/2021
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