Individual
BRYAN R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, PATHOLOGY 509, BALTIMORE, MD 21287-0005
(443) 287-0589
(410) 955-0672
Mailing address
600 N WOLFE ST, PATHOLOGY 509, BALTIMORE, MD 21287-0005
(443) 287-0589
(410) 955-0672
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D72688
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57221
NEUROLOGY BOARD CERTIFICATION (ABPN)
—
Enumeration date
05/25/2007
Last updated
04/30/2013
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