Individual
BRIAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BOCPO
Contact information
Practice address
209 MILFORD ST, SUITE C, SALISBURY, MD 21804-7099
(443) 859-8754
(443) 859-8966
Mailing address
209 MILFORD ST, SUITE C, SALISBURY, MD 21804-7099
(443) 859-8754
(443) 859-8966
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
C22040
DE
224P00000X
Prosthetist
Primary
C22040
DE
Other
Enumeration date
10/09/2013
Last updated
03/11/2015
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