Gilbert D. Smith, Md, Llc | |
2210 Barron Rd Suite 219 Poplar Bluff MO 63901-1908 | |
(573) 686-2811 | |
(573) 686-3441 |
Full Name | Gilbert D. Smith, Md, Llc |
---|---|
Speciality | Nurse Practitioner - Family |
Location | 2210 Barron Rd, Poplar Bluff, Missouri |
Authorized Official Name and Position | Gilbert D Smith (OWNER) |
Authorized Official Contact | 5736862811 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gilbert D. Smith, Md, Llc 2210 Barron Rd Suite 219 Poplar Bluff MO 63901-1908 Ph: (573) 686-2811 | Gilbert D. Smith, Md, Llc 2210 Barron Rd Suite 219 Poplar Bluff MO 63901-1908 Ph: (573) 686-2811 |
NPI Number | 1174699664 |
---|---|
Provider Enumeration Date | 11/27/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174699664 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R5B27 (Missouri) | Primary |
363LF0000X | Nurse Practitioner - Family | 118754 (Missouri) | Primary |
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› Verified 5 days ago
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