Individual
DR. WAYNE ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
US FLEET FORCES COMMAND 1652 MITSCHER AVE, NORFOLK, VA 23551-2111
(757) 836-9838
Mailing address
PSC 817 BOX 1298, FPO, AE 09622-0013
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO1970
ME
208D00000X
General Practice Physician
1970
ME
Other
Enumeration date
05/05/2008
Last updated
04/15/2025
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