Individual
ROLANDO SMYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
91 WHITE AVE, MAXWELL AFB, AL 36113-6301
(334) 953-5273
Mailing address
91 WHITE AVE, MAXWELL AFB, AL 36113-6301
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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