Individual
DR. TRISTON BBJ SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 PLAZA DR, SAINT CLAIRSVILLE, OH 43950-6700
(800) 318-7179
(234) 285-6816
Mailing address
380 SUMMIT AVE., MSO PHYSICIAN BILLING, STEUBENVILLE, OH 43952-2667
(740) 283-7597
(740) 283-7807
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT193015
PA
207RI0011X
Interventional Cardiology Physician
Primary
35.140919
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135402
—
OH
Enumeration date
09/22/2010
Last updated
12/03/2020
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