Individual
MR. ROGER P SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 BROOKLINE CT, ZIONSVILLE, IN 46077-1194
(317) 733-8909
Mailing address
2801 BROOKLINE CT, ZIONSVILLE, IN 46077-1194
(317) 733-8909
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01069201A
IN
207V00000X
Obstetrics & Gynecology Physician
117868
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201014010
—
IN
05
—
203906706
—
MO
Enumeration date
02/13/2006
Last updated
03/05/2015
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