Individual
STEPHEN CHARLES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3075 US ROUTE 60 STE A110, HUNTINGTON, WV 25705-8859
(304) 528-4600
Mailing address
3075 US ROUTE 60, HUNTINGTON, WV 25705-8859
(304) 528-4600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14005
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084337000
—
WV
05
—
0810706
—
OH
01
—
110185180
RAILROAD MEDICARE
—
Enumeration date
06/20/2006
Last updated
04/23/2025
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