Whalio Doctors

NPI 1114023942

Douglas R Smith, PA

Practitioner Physician Assistant Princeton, WV

Practice location

Address
122 12th Street Ext, Princeton, WV 24740-2352
Phone
(304) 487-7275
Mailing address
1431 Centerpoint Blvd Suite 100, Knoxville, TN 37932-1984

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PENDING (WV)

Registry record

NPI
1114023942
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Sep 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.