Individual
DONNA LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
221 5TH AVE S, GLASGOW, MT 59230-2600
(406) 228-3400
(406) 228-3413
Mailing address
221 5TH AVE S, GLASGOW, MT 59230-2600
(406) 228-3400
(406) 228-3413
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35736
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588700660
—
MT
01
—
976541201
BLUE CROS BLUE SHIELD OF MONTANA
MT
01
—
M011005430
MEDICARE PTAN
MT
Enumeration date
01/29/2007
Last updated
02/10/2016
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