Organization
RONALD D SMITH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIA ANN YANKEE (OFFICE MANAGER)
(870) 763-4541
Entity
Organization
Contact information
Practice address
527 N 6TH ST, BLYTHEVILLE, AR 72315-2407
(870) 763-4541
(870) 762-2390
Mailing address
527 N 6TH ST, BLYTHEVILLE, AR 72315-2407
(870) 763-4541
(870) 762-2390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C4413
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103451001
—
AR
Enumeration date
11/09/2005
Last updated
02/23/2010
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