Individual
EVAN GREGORY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 ELLIOT WAY, MANCHESTER, NH 03103
(603) 663-2710
(603) 663-2273
Mailing address
1 ELLIOT WAY, MANCHESTER, NH 03103-3502
(603) 663-2710
(603) 663-2273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19009
NH
208M00000X
Hospitalist Physician
Primary
19009
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2015
Last updated
11/30/2018
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