Doctor Name: | DR. JEFFREY S SMITH |
NPI Number: | 1124015367 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS-004653-L |
Business Practice Address: | 734 E High St Waynesburg, PA - 153701710 |
Business Phone Number: | 7248522050 |
Business Fax Number: | 7246277828 |
Mailing Address: | 734 E High St, WAYNESBURG |
State: | PA |
Postal Code: | 153701710 |
Phone Number: | 7248522050 |
Fax Number: | 7246277828 |
NPI Enumeration Date: | 10/03/2005 |
NPI Last Update Date: | 07/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS-004653-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |