Individual
GREG D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
555 BLACK OAK DR, MEDFORD, OR 97504
(541) 789-8176
Mailing address
2620 E BARNETT RD STE H, MEDFORD, OR 97504-8383
(541) 789-8176
(541) 789-2558
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201902885NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
7702-33
WI
Other
Enumeration date
06/14/2017
Last updated
10/13/2021
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