Individual
DR. CRAIG DONALD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 N 10TH ST, BISMARCK, ND 58501-4516
(701) 530-7500
(701) 530-7484
Mailing address
310 N 10TH ST, BISMARCK, ND 58501-4516
(701) 530-7500
(701) 530-7484
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
10608
ND
207L00000X
Anesthesiology Physician
160706
MT
207L00000X
Anesthesiology Physician
Primary
4990
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275602740
NPI
ND
01
—
P00433246
RAILROAD MEDICARE
ND
Enumeration date
11/07/2006
Last updated
01/15/2021
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