Organization
SURGICAL ASSOCIATES OF SMYTH COUNTY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYLE W BAUMAN M.D. (PRESIDENT)
(276) 782-9113
Entity
Organization
Contact information
Practice address
1203 SNIDER ST, MARION, VA 24354-4221
(276) 782-9113
(276) 782-9833
Mailing address
1203 SNIDER ST, MARION, VA 24354-4221
(276) 782-9113
(276) 782-9833
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101049504
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
282451
ANTHEM
VA
05
—
7367899
—
VA
Enumeration date
08/13/2006
Last updated
02/01/2010
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