Individual
GREGORY L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 PENNSYLVANIA AVE, DES MOINES, IA 50316-2339
(515) 266-1000
(515) 266-1824
Mailing address
1201 PENNSYLVANIA AVE, DES MOINES, IA 50316-2339
(515) 266-1000
(515) 266-1824
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22544
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0275933
—
IA
05
—
1134180235
—
IA
Enumeration date
03/29/2006
Last updated
08/09/2012
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