Individual
DR. KYLE BUCHANAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, BOX 9149, MORGANTOWN, WV 26506-1200
(304) 293-7215
(304) 293-6702
Mailing address
3102 E EARLL DR, PHOENIX, AZ 85016-7532
(303) 748-8832
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0064097
CO
Other
Enumeration date
03/30/2017
Last updated
10/15/2020
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