Individual
PAUL ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
10 ALICE PECK DAY DR, LEBANON, NH 03766-2900
(603) 448-3121
Mailing address
10 ALICE PECK DAY DR, LEBANON, NH 03766-2900
(603) 448-3121
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0378
NH
213ES0000X
Sports Medicine Podiatrist
Primary
0378
NH
213ES0103X
Foot & Ankle Surgery Podiatrist
0560000181
VT
213ES0131X
Foot Surgery Podiatrist
0378
NH
Other
Enumeration date
10/25/2007
Last updated
01/26/2022
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