Individual
DR. STACEY RENEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
209 4TH AVE, SAINT ALBANS, WV 25177-2821
(304) 727-9200
Mailing address
209 4TH AVE, SAINT ALBANS, WV 25177-2821
(304) 727-9200
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00373
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437245735
—
WV
05
—
2104022000
—
WV
Enumeration date
10/05/2006
Last updated
01/07/2026
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