Individual
DR. GARY VALDEMAR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9048 SUGAR ESTATE, ROY LESTER SCHNEIDER MEDICAL CENTER, ST. THOMAS, VI 00802
(340) 776-8311
(340) 714-6322
Mailing address
PO BOX 6244, ST THOMAS, VI 00804-6244
(340) 774-9172
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002
VI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239782300000013
PHYSICIAN ASSISTANT
VI
Enumeration date
09/20/2006
Last updated
07/08/2007
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