Individual
DR. VERNON C SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1160 VARNUM ST NE, SUITE # 211, WASHINGTON, DC 20017-2107
(202) 726-8491
(202) 726-4673
Mailing address
PO BOX 42541, WASHINGTON, DC 20015-0541
(202) 726-8491
(202) 726-4673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD25805
DC
207QA0000X
Adolescent Medicine (Family Medicine) Physician
MD25805
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720170285
NPI
—
Enumeration date
09/29/2006
Last updated
02/23/2017
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