Individual
THOMAS PATRICK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 FISHER STREET, KEESLER AFB, MS 39534
(228) 377-4666
(210) 916-7323
Mailing address
301 FISHER STREET, KEESLER AFB, MS 39534
(228) 377-4666
(210) 916-7323
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
32137
MS
208D00000X
General Practice Physician
58321
AZ
Other
Enumeration date
03/12/2018
Last updated
12/28/2023
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