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Individual

DR. ROBERT WAYNE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4137 S SHERWOOD FOREST BLVD, SUITE 110, BATON ROUGE, LA 70816-4377
(225) 291-2626
(225) 291-2628
Mailing address
PO BOX 40362, BATON ROUGE, LA 70835-0362
(225) 291-2626
(225) 291-2628

Taxonomy

Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
611
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1955558
LA
Enumeration date
12/29/2006
Last updated
09/25/2013
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