Individual
DR. LAURA A. SMIRICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527
(541) 472-7000
(312) 829-2024
Mailing address
2620 EAST BARNETT RD, SUITE H, MEDFORD, OR 97504
(541) 789-5250
(541) 789-5538
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036097740
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097740
—
IL
Enumeration date
02/21/2006
Last updated
04/24/2013
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