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Individual

SOPHIA R SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2978
(202) 884-2130
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2978
(202) 884-2130

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD32647
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036841500
DC
05
6718027
VA
05
699265001
MD
Enumeration date
10/18/2006
Last updated
12/17/2007
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