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Organization
GREG SMART FAMILY PRACTICE
Active
Organization
GREG SMART FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG S SMART M.D. (OWNER/ DOCTOR)
(870) 864-0333
Entity
Organization
Contact information
Practice address
209 THOMPSON AVE, EL DORADO, AR 71730-5755
(870) 864-0333
(870) 864-0336
Mailing address
209 THOMPSON AVE, EL DORADO, AR 71730-5755
(870) 864-0333
(870) 864-0336
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C-6052
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106157001
—
AR
Enumeration date
07/01/2013
Last updated
07/01/2013
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