Individual
EUGENE S SMITH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 W MARKHAM ST, 111B, LITTLE ROCK, AR 72205-4024
(501) 257-5795
(501) 257-5796
Mailing address
4300 W MARKHAM ST, 111B, LITTLE ROCK, AR 72205-4024
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C8207
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12035000000
QUALCHOICE
—
01
—
55301
BCBS
—
Enumeration date
07/27/2006
Last updated
01/25/2008
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