Organization
GILBERT D. SMITH, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERT D SMITH MD (OWNER)
(573) 686-2811
Entity
Organization
Contact information
Practice address
2210 BARRON RD, SUITE 219, POPLAR BLUFF, MO 63901-1908
(573) 686-2811
(573) 686-3441
Mailing address
2210 BARRON RD, SUITE 219, POPLAR BLUFF, MO 63901-1908
(573) 686-2811
(573) 686-3441
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
R5B27
MO
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500910708
—
MO
05
—
596062703
—
MO
Enumeration date
01/04/2006
Last updated
04/29/2008
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