Individual
DR. BYRON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
122 12TH ST, PRINCETON, WV 24740
(304) 487-7000
Mailing address
PO BOX 634715, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1945
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001716580
BLUE SHIELD
WV
05
—
1809158000
—
WV
01
—
61477
UNICARE
WV
01
—
P00232885
MEDICARE RAILROAD
WV
Enumeration date
06/13/2006
Last updated
11/12/2007
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