Individual
DR. TERRANCE H SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 3RD AVE S, CLEAR LAKE, SD 57226-2016
(605) 874-3541
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4360
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4360
STATE LICENSE NUMBER
SD
Enumeration date
07/27/2006
Last updated
11/03/2008
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