Individual
DR. GREGORY ALLEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2825 STOCKYARD RD STE I-200, MISSOULA, MT 59808
(406) 728-8420
Mailing address
1215 LEE ST, 800710, CHARLOTTESVILLE, VA 22908-0816
(434) 982-0629
(434) 982-0019
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MED-PHYS-LIC-64559
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2013
Last updated
06/21/2018
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