Individual
ROBERT MACLEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
2708
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006934
BCBS
SD
01
—
030003144
RR MEDICARE
SD
05
—
0968362
—
IA
05
—
250705600
—
MN
01
—
4436
BCBS
NE
05
—
5900242
—
SD
01
—
94159
BCBS
IA
Enumeration date
05/19/2006
Last updated
06/15/2016
Update your record
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