Organization
THOMAS W. SMITH, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS WALTER SMITH MD (OWNER)
(814) 371-2390
Entity
Organization
Contact information
Practice address
529 SUNFLOWER DR, DU BOIS, PA 15801-2378
(814) 371-2390
(814) 371-9532
Mailing address
529 SUNFLOWER DR, DU BOIS, PA 15801-2378
(814) 371-2390
(814) 371-9532
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD021684E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013934950001
—
PA
01
—
1258314
UMWA
PA
01
—
445064
HIGHMARK
PA
Enumeration date
08/31/2006
Last updated
02/13/2008
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