Individual
BARRY L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1328 SOUTHERN AVE SE, SUITE 213 MED SER, WASHINGTON, DC 20032-4689
(202) 562-4071
(202) 574-9350
Mailing address
1328 SOUTHERN AVE SE, SUITE 213, WASHINGTON, DC 20032-4689
(202) 562-4071
(202) 574-9350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD9584
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022811400
—
DC
01
—
7797
CAREFIRST DC
DC
Enumeration date
01/02/2007
Last updated
06/30/2008
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