Individual
DR. STEPHANIE LARSON SMELTZER
Active
Individual
DR. STEPHANIE LARSON SMELTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
84350
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10046157
PHYSICIAN IN TRAINING PERMIT
TX
Enumeration date
03/27/2013
Last updated
09/06/2023
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