Individual
DR. SHANON DAIL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
715 N SAINT JOSEPH AVE, HASTINGS RADIOLOGY ASSOCIATES, HASTINGS, NE 68901-4451
(402) 461-5191
Mailing address
715 N SAINT JOSEPH AVE, HASTINGS, NE 68901-4451
(402) 463-0404
(402) 462-4264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22687
AL
2085R0202X
Diagnostic Radiology Physician
054513
GA
2085R0202X
Diagnostic Radiology Physician
Primary
25167
NE
Other
Enumeration date
02/11/2007
Last updated
03/30/2016
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