Individual
MARLA M. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
401 11TH ST NE, SPRINGHILL, LA 71075-4503
(318) 539-4875
(318) 539-3351
Mailing address
401 11TH ST NE, SPRINGHILL, LA 71075-4503
(318) 539-4875
(318) 539-3351
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.A10290.RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1624853
—
LA
01
—
32417
LA CDS
—
Enumeration date
02/13/2006
Last updated
03/07/2023
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