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Individual
BRUCE L SMITH JR.
Active
Individual
BRUCE L SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C4861
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104926001
—
AR
01
—
4152730001
CIGNA GOVERNMENT SERVICES
AR
01
—
54927
BLUE CROSS BLUE SHIELD
AR
Enumeration date
02/14/2006
Last updated
12/14/2010
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