Individual
GREG SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
209 THOMPSON AVE, SUITE 2, EL DORADO, AR 71730-5755
(870) 864-0333
(870) 864-0336
Mailing address
209 THOMPSON AVE, SUITE 2, EL DORADO, AR 71730-5755
(870) 864-0333
(870) 864-0336
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C-6052
AR
207Q00000X
Family Medicine Physician
Primary
C6052
AR
208M00000X
Hospitalist Physician
C-6052
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106157001
—
AR
Enumeration date
08/24/2005
Last updated
06/14/2010
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