Individual
MRS. CONSTANCE H SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
529 N 10TH ST, BLYTHEVILLE, AR 72315-1974
(870) 762-1942
(870) 763-0787
Mailing address
529 N 10TH ST, BLYTHEVILLE, AR 72315-1974
(870) 762-1942
(870) 763-0787
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E1034
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5K195
BLUE CROSS
AR
Enumeration date
01/18/2006
Last updated
07/08/2007
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