Individual
DR. DAVID W SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9 ELM ST, PERU, NY 12972-2812
(518) 643-7037
(518) 643-2125
Mailing address
PO BOX 599, PERU, NY 12972-0599
(518) 643-7037
(518) 643-2125
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1902181
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01354865
—
NY
Enumeration date
02/01/2006
Last updated
08/27/2008
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