Individual
DONALD E. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1515 MAIN ST, HIGHLAND, IL 62249-1656
(619) 526-5329
(618) 526-2291
Mailing address
107 CRYSTAL GATE LN, GLEN CARBON, IL 62034-1134
(618) 288-9867
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041289062
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209004059
IL
Other
Enumeration date
09/20/2006
Last updated
08/23/2022
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