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Individual
JOSEPH W SMITH
Active
Individual
JOSEPH W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
52074
MN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
TP631
KY
208VP0000X
Pain Medicine Physician
TP631
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
10/01/2008
Last updated
08/13/2015
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