Individual
JUSTIN TODD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, DMPNA
Contact information
Practice address
2520 VALLEY DR, POINT PLEASANT, WV 25550-2031
(304) 720-8816
(904) 494-6467
Mailing address
20 BOSTON CMNS, WINFIELD, WV 25213-9100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
82829
WV
Other
Enumeration date
06/23/2015
Last updated
03/14/2024
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