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Individual

DR. MICHAEL DEAN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.D.

Contact information

Practice address
3103 W MAIN PL, RUSSELLVILLE, AR 72801-3360
(479) 968-1050
(479) 968-1557
Mailing address
254 S ENID AVE, RUSSELLVILLE, AR 72801-4534
(479) 968-1050
(479) 968-1557

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
06418
AR

Other

Enumeration date
08/30/2006
Last updated
07/08/2007
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