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Individual

THOMAS W SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
529 SUNFLOWER DR, DU BOIS, PA 15801-2378
(814) 371-2390
(814) 371-9532
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 371-2390
(814) 371-9532

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD021684E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0013934950001
PA
01
089588
HIGHMARK
PA
01
1258314
UMWA
PA
01
442181133
RAILROAD MEDICARE
PA
Enumeration date
06/14/2006
Last updated
06/05/2019
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