Organization
SOUTHERN OSTEOPOROSIS SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER A SMITH MD (OWNER)
(318) 435-7881
Entity
Organization
Contact information
Practice address
6913 PRAIRIE ROAD, WINNSBORO, LA 71295
(318) 435-7881
Mailing address
138 JACKSON LN, GILBERT, LA 71336-5834
(318) 435-7881
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.018530
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386839
—
LA
Enumeration date
08/20/2008
Last updated
08/20/2008
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