Individual
MR. DAVID L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA CCC A
Contact information
Practice address
5170 US RT 60 EAST, HUNTINGTON, WV 25705
(304) 528-4600
(304) 399-2396
Mailing address
5170 US RT 60 EAST, HUNTINGTON, WV 25705
(304) 528-4600
(304) 399-2396
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A0061
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160786000
—
WV
05
—
70001292
—
KY
01
—
P00291198
MEDICARE RAILROAD
—
Enumeration date
06/22/2006
Last updated
02/19/2008
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