Individual
DR. JOHN T SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 SOUTH 6TH PLACE, LOWELL, AR 72745-9704
(479) 770-0700
(479) 770-1184
Mailing address
325 SOUTH 6TH PLACE, LOWELL, AR 72745-9704
(479) 770-0700
(479) 770-1184
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E5134
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167694001
—
AR
Enumeration date
02/12/2007
Last updated
09/24/2011
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