Individual
RICHARD C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2729 S HIGHWAY 65 82, LAKE VILLAGE, AR 71653-6136
(870) 632-9091
(662) 537-4888
Mailing address
755 S WASHINGTON AVE, GREENVILLE, MS 38701-5832
(870) 632-9091
(662) 537-4888
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
15057
MS
2085R0202X
Diagnostic Radiology Physician
Primary
E-6378
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00334503
—
MS
05
—
140263001
—
AR
05
—
1538043
—
LA
01
—
P00316066
RR MEDICARE
—
Enumeration date
08/25/2006
Last updated
05/04/2010
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