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Individual

CHAD MICHAEL SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDMT

Contact information

Practice address
238 BROOKLEY AVE, BOLLING AFB, DC 20032
(202) 754-1458
Mailing address
13037 ARLINGTON ST, OMAHA, NE 68164-1643
(703) 980-3850

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary

Other

Enumeration date
06/11/2009
Last updated
06/11/2009
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