Individual
BRIAN R. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 FAIRVIEW DR, FRANKLIN, VA 23851-1238
(757) 569-6100
Mailing address
100 FAIRVIEW DR, FRANKLIN, VA 23851-1238
(757) 569-6100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024165705
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010256364
—
VA
Enumeration date
05/04/2006
Last updated
07/09/2007
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