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Individual

MR. MICHAEL ALLEN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
411 N STATE ROUTE 2, NEW MARTINSVILLE, WV 26155-2711
(304) 455-5515
Mailing address
908 MEADOW HTS, PADEN CITY, WV 26159-1926
(304) 771-4953

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
76314
WV

Other

Enumeration date
09/27/2022
Last updated
09/27/2022
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