Individual
MATTHEW SMITHBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 MEDICAL PARK, WHEELING HOSPITAL INC, WHEELING, WV 26003-6379
(304) 243-3124
(304) 243-6343
Mailing address
1 MEDICAL PARK, WHEELING HOSPITAL INC, WHEELING, WV 26003-6379
(304) 243-3124
(304) 243-6343
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01537
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01537
LICENSE
WV
Enumeration date
02/20/2012
Last updated
02/20/2012
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