| Doctor Name: | DR. WAYNE ROBERT SMITH |
| NPI Number: | 1659547180 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 1970 |
| Business Practice Address: | 620 John Paul Jones Cir Portsmouth, VA - 237082111 |
| Business Phone Number: | 7579531407 |
| Business Fax Number: | |
| Mailing Address: | 620 John Paul Jones Circle, Naval Medical Center Portsmouth PORTSMOUTH |
| State: | VA |
| Postal Code: | 23708 |
| Phone Number: | 7579532407 |
| Fax Number: | |
| NPI Enumeration Date: | 05/05/2008 |
| NPI Last Update Date: | 05/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 1970 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |