Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | 16881 | DC |
NPI | 1083646863 |
---|---|
Provider Name | Allan C Smith |
First Address | Silver Spring, MD 20904-1228 |
Second Address | Silver Spring, MD 20904-1228 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 26/01/2012 |