Individual
DR. ROMEO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3311 E. MURDOCK, WICHITA, KS 67208
(316) 689-9969
(316) 689-9943
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-29411
KS
207Q00000X
Family Medicine Physician
31620
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200576700A
—
KS
Enumeration date
01/11/2007
Last updated
03/28/2012
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