Individual
DR. ROBERT PORTER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2210 BARRON RD, SUITE114, POPLAR BLUFF, MO 63901-1908
(573) 686-4800
(573) 686-8448
Mailing address
2210 BARRON RD, SUITE114, POPLAR BLUFF, MO 63901-1908
(573) 686-4800
(573) 686-8448
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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