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Organization
PREMIER ORTHOPEDIC SURGERY, INC.
Active
Organization
PREMIER ORTHOPEDIC SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW PATRICK SMITH D.O. (PRESIDENT)
(256) 505-7066
Entity
Organization
Contact information
Practice address
7938 AL HWY 69, SUITE 100, GUNTERSVILLE, AL 35976
(256) 571-8445
Mailing address
7938 AL HWY 69, SUITE 100, GUNTERSVILLE, AL 35976-7119
(256) 571-8445
(256) 571-8447
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DO930
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009938489
—
AL
05
—
009938491
—
AL
01
—
1225573629
NPI
—
01
—
1336193440
INDIVIDUAL NPI
AL
01
—
1689627572
GROUP NPI
AL
Enumeration date
05/19/2006
Last updated
02/23/2017
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