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Individual

MICHAEL Q SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4379 RIDGEWOOD CENTER DR STE 102, WOODBRIDGE, VA 22192
(703) 680-7950
(703) 680-7953
Mailing address
4379 RIDGEWOOD CENTER DR STE 102, WOODBRIDGE, VA 22192-8323
(703) 680-7950
(703) 680-7953

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101044418
VA

Other

Enumeration date
11/03/2005
Last updated
10/03/2019
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