Organization
STEPHEN D SMITH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON L CHAPLA (OFFICE MANAGER)
(406) 728-4292
Entity
Organization
Contact information
Practice address
2825 FORT MISSOULA RD, 115, MISSOULA, MT 59804-7420
(406) 728-4292
(406) 728-5770
Mailing address
2825 FORT MISSOULA RD, 115, MISSOULA, MT 59804-7420
(406) 728-4292
(406) 728-5770
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
4309
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0043563
—
MT
Enumeration date
12/20/2007
Last updated
01/29/2008
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