Individual
DR. GARY L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 CHERRINGTON PKWY, STE 200, MOON TOWNSHIP, PA 15108-4318
(412) 262-7800
(412) 262-2277
Mailing address
5820 CENTRE AVE, PITTSBURGH, PA 15206-3710
(412) 661-5500
(412) 661-4760
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD022497E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD022497E
MEDICAL LICENSE
PA
Enumeration date
08/19/2005
Last updated
06/09/2008
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