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Individual

REX D SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1060 CHAMBERS ST, EUGENE, OR 97402-3745
(541) 342-3373
(541) 342-3374
Mailing address
1060 CHAMBERS ST, EUGENE, OR 97402-3745
(541) 342-3373
(541) 342-3374

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00142
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
22733-0
OR
01
831296000
BLUE CROSS BLUE SHIELD
Enumeration date
08/19/2006
Last updated
03/05/2008
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