Individual
STEVEN BRADBURY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
32 PLEASANT STREET, WOODSTOCK, VT 05091
(802) 457-3030
(802) 457-2157
Mailing address
1412 VT ROUTE 12, WOODSTOCK, VT 05091-8172
(802) 457-4809
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-0007558
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009064
—
VT
Enumeration date
07/12/2006
Last updated
03/10/2021
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