Individual
JOSH BRIAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
216 ANAMARIA DR, RAPID CITY, SD 57701-7366
(605) 721-4700
(605) 721-4708
Mailing address
13510 EARL CT, RAPID CITY, SD 57702-7406
(586) 596-7080
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704267742
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000872
SD
Other
Enumeration date
11/17/2011
Last updated
02/20/2015
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