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Individual

DR. ROBERT NEWTON SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
624 BRIDGE ST, HUMBOLDT, KS 66748-1733
(620) 473-2772
(620) 473-3573
Mailing address
PO BOX 38, HUMBOLDT, KS 66748-0038
(620) 473-2772
(620) 473-3573

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KS1212-2
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100218130-A
KS
05
100218130-B
KS
Enumeration date
09/25/2006
Last updated
03/11/2008
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