Individual
MR. MATTHEW DEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3848 TWELVE OAKS AVE, BATON ROUGE, LA 70820-2000
(225) 205-3211
Mailing address
3848 TWELVE OAKS AVE, BATON ROUGE, LA 70820-2000
(225) 205-3211
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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