Individual
JOHN F SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 WATERDAM RD APT 120, CANONSBURG, PA 15317-2572
(412) 359-8900
(412) 359-8977
Mailing address
161 WATERDAM RD APT 120, CANONSBURG, PA 15317-2572
(412) 359-8900
(412) 359-8977
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD054180L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001514750
—
PA
01
—
11660226
CAQH
—
Enumeration date
03/02/2006
Last updated
10/24/2024
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