Individual
GREGORY K SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1900 ELECTRIC RD, ANESTHESIA DEPARTMENT, SALEM, VA 24153-7474
(866) 224-2413
Mailing address
PO BOX 13888, ROANOKE, VA 24038-3888
(540) 266-9306
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024169156
VA
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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