Individual
DONALD B SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1800 BUCKNER ST, SUITE C120, SHREVEPORT, LA 71101-4440
(318) 227-8899
(318) 425-3793
Mailing address
1800 BUCKNER ST, SUITE C120, SHREVEPORT, LA 71101-4440
(318) 227-8899
(318) 425-3793
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AO04282
LA
Other
Enumeration date
09/22/2005
Last updated
06/12/2012
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