Individual
MR. MARK ANTHONY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
50 IRVING ST NW, THE VA MEDICAL CENTER, WASHINGTON, DC 20422
(202) 745-8295
Mailing address
12871 MURPHY GROVE TER, CLARKSBURG, MD 20871-4318
(301) 540-7190
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C 02712
MD
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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