Individual
ROGER MCDONNELL SMITH
Active
Individual
ROGER MCDONNELL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD009371E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000019026
HIGHMARK BLUE SHIELD
—
01
—
058287
VALUE OPTIONS
—
01
—
229465
COMPSYCH
—
01
—
283220
MAMSI
—
01
—
290870
MHN
—
01
—
4100632
AETNA
—
01
—
463825000
MAGELLAN
—
01
—
BUS089
OXFORD
—
Enumeration date
04/22/2006
Last updated
09/10/2012
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