Individual
THOMAS BALLENGER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
516 W 14TH AVE, STE 100, HOLDREGE, NE 68949-1216
(308) 995-4431
(308) 995-3247
Mailing address
516 W 14TH AVE, STE 100, HOLDREGE, NE 68949-1216
(308) 995-4431
(308) 995-3247
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15286
NE
Other
Enumeration date
06/21/2006
Last updated
06/20/2014
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