Individual
DR. ROBERT PORTER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R8961
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114810
HEALTHLINK
—
01
—
14370
BLUE CROSS BLUE SHIELD
—
01
—
180034173
MEDICARE RAILROAD
MO
05
—
202609509
—
MO
Enumeration date
01/27/2006
Last updated
10/23/2007
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