Individual
DR. MARK H SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2751 ALBERT L BICKNELL DR, SUITE 3D, SHREVEPORT, LA 71103-3920
(318) 212-4799
(318) 424-3642
Mailing address
2751 ALBERT L BICKNELL DR, SUITE 3D, SHREVEPORT, LA 71103-3920
(318) 212-4799
(318) 424-3642
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
201297
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21489
—
LA
Enumeration date
05/23/2007
Last updated
07/15/2013
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