Doctor Name: | DR. DAVID DUANE SMITH |
NPI Number: | 1164488599 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C |
License Number: | 21128 |
Business Practice Address: | 45 Pine St Langley Afb, VA - 236652025 |
Business Phone Number: | 7577648526 |
Business Fax Number: | 7577648491 |
Mailing Address: | 45 Pine St, LANGLEY AFB |
State: | VA |
Postal Code: | 236652025 |
Phone Number: | 7577648526 |
Fax Number: | 7577648491 |
NPI Enumeration Date: | 04/25/2006 |
NPI Last Update Date: | 08/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | 21128 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: |