Most Relevant Information
Provider Data
| NPI Number: | 1003810581 |
| Provider Name: | ROBERT SMITH M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0202X |
| Specialty: | Radiology |
| License Number: | 14970 |
Most Important Dates
| Enumeration Date: | 06/13/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
416 DIVISION ST
SOUTH CHARLESTON
WV
253091456
Practice Location Phone/Fax
| Phone: | 3047667141 |
| Fax: | 3047667143 |
Provider Mailing Location
1021 QUARRIER ST
STE 301
CHARLESTON
WV
253012313
Provider Mailing Phone/Fax
| Phone: | 3043434625 |
| Fax: | 3043434626 |