Individual
DR. PATRICIA D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8625 SUDLEY RD, MANASSAS, VA 20110-4515
(703) 361-3434
(703) 361-6252
Mailing address
8625 SUDLEY RD, MANASSAS, VA 20110-4515
(703) 361-3434
(703) 361-6252
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101046481
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227705
ANTHEM PROVIDER ID
VA
01
—
2522-0005
CARE FIRST PROVIDER ID
VA
Enumeration date
07/27/2006
Last updated
07/08/2007
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