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Organization

DRS STEVE & KELLIE SMALDORE FAMILY PRACTICE, INC

Active
Other names
Drs Steve & Kellie MDVIP Practice, Inc, Smaldore Family Practice Associates, Inc
Organization subpart
No

Provider details

NPI number
Authorized official
KELLIE BOBBITT SMALDORE DO (OWNER/PHYSICIAN)
(443) 371-4940
Entity
Organization

Contact information

Practice address
2227 OLD EMMORTON RD STE 218, BEL AIR, MD 21015-6189
(443) 371-4940
(443) 371-4941
Mailing address
2227 OLD EMMORTON RD STE 218, BEL AIR, MD 21015-6189
(433) 371-4940
(443) 371-4941

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
952110100
MD
Enumeration date
12/06/2006
Last updated
08/17/2023
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