Individual
DAREN EDWARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6204 PLANK RD, FREDERICKSBURG, VA 22407-6238
(540) 507-7966
Mailing address
503 MAPLE GROVE DR, FREDERICKSBURG, VA 22407-8917
(540) 270-5588
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
—
146N00000X
Basic Emergency Medical Technician
Primary
B201400319
VA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
B201400319
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B201400319
VIRGINIA OFFICE OF EMERGENCY MEDICAL SERVICES
VA
Enumeration date
01/01/2018
Last updated
01/01/2018
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