Smith, Walter David

Smith, Walter David is an individual health care provider with primary practice located at 1940 Harrison Ave , Panama City FL 32405-4542. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Smith, Walter David can be contacted via phone (850) 763-0017.

Contact Information

Primary practice address
1940 Harrison Ave Panama City FL 32405-4542
Phone: (850) 763-0017
Fax: (850) 692-5862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 18267 Nevada
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X T-2750 Mississippi
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME135366 Florida

Profile Details

NPI number 1245664531
LBN Legal business name Smith, Walter David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2013
Last updated Nov 2nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245664531 NPPES
Mississippi MEDICAID 07832520

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