Thomas Larry Smith in Woodbridge - Specialist
Thomas Larry Smith - NPI 1184685976
Thomas Larry Smith is a Specialist in Woodbridge, Virginia. Thomas Larry Smith practices all healthcare services and medical treatments related to Specialist. The NPI Number for Thomas Larry Smith is 1184685976. The last update date is 2015-02-06.
Thomas Larry Smith's current location address is 2200 Opitz Blvd, Woodbridge, Virginia. You can contact this provider via phone number 7034924140 and fax number 7039918104. The mailing address for Thomas Larry Smith is 2200 Opitz Blvd, Woodbridge, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Larry Smith |
|---|---|
| Address | 2200 Opitz Blvd, Woodbridge, Virginia |
| Phone Number | 7034924140 |
| Fax Number | 7039918104 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1184685976 |
|---|---|
| Provider Enumeration Date | 2006-03-31 |
| Last Updated Date | 2015-02-06 |
Provider Mailing Address Detail
| Address | 2200 Opitz Blvd |
|---|---|
| City | Woodbridge |
| State | Virginia (VA) |
| Post Code | 221913321 |
| Phone Number | 7034924140 |
| Fax Number | 7039918104 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 101052153 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5900409 | VA | -- |
Post Comment/ Review Below
Could you provide the complete physical address where Thomas Larry Smith is located?
The Thomas Larry Smith is situated at the following address: 2200 Opitz Blvd, Woodbridge, VA, 221913321.
What is Thomas Larry Smith's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Thomas Larry Smith's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did Thomas Larry Smith receive its 1184685976 assignment from the Centers for Medicare & Medicaid Services?
The Thomas Larry Smith was assigned its 1184685976 on 2006-03-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1184685976 to Thomas Larry Smith?
The Centers for Medicare & Medicaid Services assigned the 1184685976 to Thomas Larry Smith on 2006-03-31.
As of what date was the information regarding Thomas Larry Smith, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Thomas Larry Smith, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-02-06.