Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 0101037672 | VA |
NPI | 1003813486 |
---|---|
Provider Name | Dr. William Scott Smith |
First Address | Richmond, VA 23226-7978 |
Second Address | Richmond, VA 23229-5205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2005 |
Last Update Date | 21/02/2014 |