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Individual

MYRKA MARLY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678
(410) 535-8295
(410) 414-4788
Mailing address
PO BOX 630898, BALTIMORE, MD 21263-0898
(800) 426-1670

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D0056666
MD
207L00000X
Anesthesiology Physician
Primary
D56666
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
973700600
MD
Enumeration date
07/18/2006
Last updated
03/05/2019
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