Individual
DR. BRANDON P SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 HOSPITAL DR, DEPARTMENT OF EMERGENCY MEDICINE, BOSSIER CITY, LA 71111-2385
(318) 212-7500
(318) 212-7505
Mailing address
2400 HOSPITAL DR, DEPARTMENT OF EMERGENCY MEDICINE, BOSSIER CITY, LA 71111-2385
(318) 212-7500
(318) 212-7505
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.202243
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07805
—
LA
Enumeration date
05/24/2007
Last updated
04/25/2012
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