MARTIN T SMITH

ROANOKE, VA
NPI1760470496
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: VA  0102050098)
Additional Taxonomies207Q00000X Family Medicine
(Licence: VA  50098)
202K00000X 
(Licence: VA  0102050098)
Enumeration Date2005-10-06
Last Update Date2011-02-02
Business Address
-- MARTIN T SMITH DO
3825 ELECTRIC RD STE C 419 OFFICE CENTER
ROANOKE, VA 24018-4561
Phone number: 540-777-1711
Mailing Address
-- MARTIN T SMITH DO
3025 MCVITTY FOREST DR APT. 104
ROANOKE, VA 24018-3564
Phone number: 540-777-1711
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