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NPI 1275712390 · live from the CMS NPI Registry

Paul Robert Smith, D.P.M.

Podiatrist, Sports Medicine in Lebanon, NH. National Provider Identifier 1275712390, active.

NPI record

NPI1275712390 Type 1 · individual
StatusActive
Primary specialtyPodiatrist, Sports Medicine 213ES0000X
Practice location10 Alice Peck Day Dr, Lebanon, NH 03766
Practice phone603-448-3121
EnumeratedOctober 25, 2007
Last updatedJanuary 26, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Podiatrist213E00000X0378 (NH)
Podiatrist, Foot & Ankle Surgery213ES0103X0560000181 (VT)
213ES0131X0378 (NH)
Podiatrist, Sports Medicine primary213ES0000X0378 (NH)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.