Individual
SAMUEL WAYNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1250 E MARSHALL STREET, ANESTHESIOLOGY, RICHMOND, VA 23298-0510
(804) 628-6990
(804) 628-6969
Mailing address
PO BOX 91734, RICHMOND, VA 23219-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024166910
VA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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