Individual
MR. GERALD LEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
45 PINE STREET, 1ST MEDICAL GROUP, LANGLEY AFB, VA 23665-2080
(757) 487-4733
(757) 487-4733
Mailing address
45 PINE STREET, 1ST MEDICAL GROUP, LANGLEY AFB, VA 23665-2080
(757) 487-4733
(757) 487-4733
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0024053447
VA
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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