Individual
DR. JARROD RUSSELL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2828 1ST AVE STE 400, HUNTINGTON, WV 25702-1236
(304) 525-6905
Mailing address
PO BOX 4100, BARBOURSVILLE, WV 25504-4100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
30636
WV
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME 122891
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2010
Last updated
12/05/2022
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