Individual
DR. RICHARD LEE SMITH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 MON HEALTH MEDICAL PARK DRIVE, 2300, MORGANTOWN, WV 26505-0000
(304) 599-8802
(304) 599-5607
Mailing address
2000 MON HEALTH MEDICAL PARK DR STE 2300, MORGANTOWN, WV 26505-1168
(304) 599-8802
(304) 599-5607
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21738
WV
207RC0000X
Cardiovascular Disease Physician
Primary
21738
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001981292
BLUE CROSS
WV
05
—
1447460001
—
WV
Enumeration date
05/23/2007
Last updated
04/01/2019
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