Individual
DR. GERALD MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3471
(814) 375-3472
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3471
(814) 375-3472
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS015996
PA
207R00000X
Internal Medicine Physician
OS015996
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102738643
—
PA
Enumeration date
01/29/2008
Last updated
03/07/2023
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