Organization
PREMIER ORTHOPEDIC SURGERY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW P SMITH DO (PRESIDENT)
(256) 571-8445
Entity
Organization
Contact information
Practice address
2367 US HIGHWAY 431, BOAZ, AL 35957-5910
(256) 571-8445
(256) 571-8447
Mailing address
7938 AL HWY 69, SUITE 100, GUNTERSVILLE, AL 35976-7119
(256) 571-8445
(256) 571-8447
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009938489
—
AL
01
—
51003891
BCBS OF AL
AL
Enumeration date
09/26/2012
Last updated
09/26/2012
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