Individual
DR. GORDON V SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2055 NORMANDIE DR, 108, MONTGOMERY, AL 36111-2732
(334) 288-4624
(334) 280-3628
Mailing address
2055 NORMANDIE DR, SUITE 108, MONTGOMERY, AL 36111-2732
(334) 269-6337
(334) 834-0657
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
00024974
AL
2085R0202X
Diagnostic Radiology Physician
044877
GA
2085R0202X
Diagnostic Radiology Physician
ME90199
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD24974
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009922425
—
AL
05
—
106707
—
AL
05
—
107000
—
AL
05
—
108067
—
AL
05
—
108566
—
AL
Enumeration date
02/06/2006
Last updated
10/20/2016
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