Individual
MR. MICHAEL STEPHEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
611 MCCLUNG AVE, BARBOURSVILLE, WV 25504-1956
(304) 736-1654
Mailing address
611 MCCLUNG AVE, BARBOURSVILLE, WV 25504-1956
(304) 736-1654
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
1102771
KY
163WG0000X
General Practice Registered Nurse
Primary
49188
WV
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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