Individual
DR. LEE BRYAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., J.D.
Contact information
Practice address
453 VAN VOORHIS RD, MONONGALIA COUNTY HEALTH DEPARTMENT, MORGANTOWN, WV 26505-3408
(304) 598-5100
(304) 598-5199
Mailing address
453 VAN VOORHIS RD, MONONGALIA COUNTY HEALTH DEPARTMENT, MORGANTOWN, WV 26505-3408
(304) 598-5100
(304) 598-5199
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13596
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128733000
—
WV
Enumeration date
10/24/2006
Last updated
03/10/2015
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