Individual
MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
830 KEMPSVILLE RD, NORFOLK, VA 23502-3920
(757) 261-6000
Mailing address
2304 CRETAN CT, VIRGINIA BEACH, VA 23454-4052
(757) 717-1121
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
0136001076
VA
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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