Individual
DR. JOHN H. SMITH
Active
Individual
DR. JOHN H. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101058086
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010132690
—
VA
01
—
174068
ANTHEM BCBS
VA
01
—
2310188
CIGNA
VA
01
—
7849751
AETNA
VA
01
—
93384
OPTIMA HEALTH PLAN
VA
01
—
P00210319
MEDICARE RAILROAD
VA
Enumeration date
01/20/2006
Last updated
04/23/2012
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