Individual
MR. ROGER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
510 LINCOLN DRIVE, SOUTHERN ORTHOPEDIC ASSOCIATES SC, HERRIN, IL 62948
(618) 997-6800
(618) 998-9124
Mailing address
510 LINCOLN DRIVE, SOUTHERN ORTHOPEDIC ASSOCIATES SC, HERRIN, IL 62948
(618) 997-6800
(618) 998-9124
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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