Individual
DR. CLINTON BOONE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1300 CREASON RD, CORNING, AR 72422-1716
(870) 857-3399
(870) 857-3301
Mailing address
PO BOX 83, CORNING, AR 72422-0083
(870) 857-3334
(870) 857-9934
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E8902
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207211003
—
AR
Enumeration date
05/22/2013
Last updated
08/16/2024
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