Search › West Virginia › 374U00000X
Justin Smith
NPI 1225709785 · on the registry since 2021
Practice
- Address
- 168 Picture Perfect Drive
Lundale, WV 25630 - Phone
- (304) 687-8853
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia