Individual
MR. BRECKINRIDGE SIEVERS SMITH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
KENT GENERAL HOSPITAL EMERGENCY DEPARTMENT, 640 SOUTH STATE ST., DOVER, DE 19901
(302) 674-4700
Mailing address
399 SEDGEWICK DR, MAGNOLIA, DE 19962-3203
(302) 697-6961
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0002745
DE
Other
Enumeration date
10/25/2006
Last updated
03/27/2008
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