Doctor Name: | DR. MARY ANN SMATHERS-OLSON |
NPI Number: | 1790046613 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D., MPH |
License Number: | D0034737 |
Business Practice Address: | 22002 Brown Farm Way Brookeville, MD - 208331809 |
Business Phone Number: | 3017744577 |
Business Fax Number: | 3017744577 |
Mailing Address: | 22002 Brown Farm Way, BROOKEVILLE |
State: | MD |
Postal Code: | 208331809 |
Phone Number: | 3017744577 |
Fax Number: | 3017744577 |
NPI Enumeration Date: | 06/06/2012 |
NPI Last Update Date: | 06/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D0034737 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |