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Individual

STEVEN R SMITH

Active
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Individual

STEVEN R SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D18216
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1840787000
WV
01
615935 01
CAREFIRST BC BS
MD
01
615935 02
CAREFIRST BC BS
MD
05
718200700
MD
01
BLUE CHOICE
J697 001
DC
01
P00135060
TRAVELERS MEDICARE
MD
Enumeration date
12/22/2005
Last updated
01/25/2024
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