Individual
MR. STEPHEN C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1130 LOUISIANA AVE, SHREVEPORT, LA 71101-3908
(318) 227-1211
(318) 678-4185
Mailing address
108 OXFORD CIR, BOSSIER CITY, LA 71111-2279
(318) 227-1211
(318) 678-4185
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
34633
LA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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