Individual
DWIGHT W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2821 DAGGETT AVE STE 100, KLAMATH FALLS, OR 97601-1106
(541) 274-6733
(541) 274-2006
Mailing address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 274-6564
(541) 274-6247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3736
AK
207Q00000X
Family Medicine Physician
Primary
MD29203
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD66291
—
AK
Enumeration date
08/14/2006
Last updated
02/11/2020
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