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Individual
DR. HERBERT LEE SMYRE
Active
Individual
DR. HERBERT LEE SMYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
06219
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062194
—
SC
Enumeration date
01/15/2008
Last updated
01/15/2008
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