Individual
DR. SUSAN E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3011 EAST BARNETT RD, MEDFORD, OR 97504-8301
(541) 789-4673
(541) 789-5678
Mailing address
PO BOX 4749, MEDFORD, OR 97501-0227
(970) 385-7977
(970) 385-6727
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
45611
CO
207RX0202X
Medical Oncology Physician
MD38769
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15559297
—
CO
05
—
3339462
—
TN
05
—
3339463
—
TN
05
—
517659
—
AZ
Enumeration date
10/05/2006
Last updated
05/08/2023
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