Individual
DR. SCOTT P SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
933 E PIERCE ST, COUNCIL BLUFFS, IA 51503-4626
(712) 396-6111
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
21246
NE
207P00000X
Emergency Medicine Physician
Primary
33039
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0218602
—
IA
05
—
1669582656
—
IA
05
—
47037660412
—
NE
Enumeration date
08/30/2006
Last updated
07/01/2013
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