Individual
DR. STEPHANIE MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2479 5TH STREET, FORT MEADE, MD 20755
(410) 305-5300
Mailing address
2479 5TH STREET, FORT MEADE, MD 20755-1086
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101244665
VA
207Q00000X
Family Medicine Physician
D0077681
MD
Other
Enumeration date
06/11/2007
Last updated
11/20/2020
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