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Individual

DR. DOUGLAS GUY SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
585 MURPHY RD, MEDFORD, OR 97504-8128
(541) 773-1414
(541) 773-5613
Mailing address
1208 BEALL LN, CENTRAL POINT, OR 97502-1573
(541) 664-5151
(877) 772-9433

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1461ATI
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
058446
OR
Enumeration date
11/15/2006
Last updated
03/25/2011
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