Organization
TRI-STATE PRIVATE PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SKYLER SMITH M.D. (OWNER)
(304) 638-9128
Entity
Organization
Contact information
Practice address
2547 3RD AVE, HUNTINGTON, WV 25703-1642
(304) 638-9128
Mailing address
2547 3RD AVE, HUNTINGTON, WV 25703-1642
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26179
WV
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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