Individual
MRS. RONDA KIM DENNIS-SMITHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,F.A.A.P.
Contact information
Practice address
123 E 3RD ST STE 2, OTTUMWA, IA 52501-2937
(641) 682-8145
(641) 682-8857
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(641) 682-8145
(641) 682-8857
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24808
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24808
STATE LICENSE #
IA
05
—
3036301
—
IA
01
—
35250
WELLMARK
IA
Enumeration date
01/12/2006
Last updated
09/16/2022
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