Individual
STANLEY ABEEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15790 PAUL VEGA MD DR, REVENUE MANAGEMENT DEPARTMENT, HAMMOND, LA 70403-1434
(985) 230-1682
(985) 230-1617
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.011982
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121958
—
MS
05
—
1366404
—
LA
01
—
930082292
RR MEDICARE NUMBER
—
Enumeration date
07/07/2006
Last updated
10/24/2017
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