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Individual

DOUGLAS B SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 LILE CT, SUITE 200, LITTLE ROCK, AR 72205-6242
(501) 224-5500
(501) 224-1166
Mailing address
1 LILE CT, SUITE 200, LITTLE ROCK, AR 72205-6242
(501) 224-5500
(501) 224-1166

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C3212
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14380000000
QUALCHOICE
AR
01
1727314
UNITED HEALTHCARE
AR
01
4204399
HEALTHLIN
AR
Enumeration date
03/02/2006
Last updated
04/13/2011
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