Individual
JOSH BRIAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704267742
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000872
SD
Other
Enumeration date
11/17/2011
Last updated
02/20/2015
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