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Individual
DR. ERIC ROBERT SMITH
Active
Individual
DR. ERIC ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
A167502
CA
2085N0700X
Neuroradiology Physician
Primary
M-17109
ID
2085R0202X
Diagnostic Radiology Physician
67899-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
4301107050
MI
Other
Enumeration date
07/07/2015
Last updated
03/09/2023
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