Individual
DAVID EARL SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3240 IRVIN COBB DR, PADUCAH, KY 42003-0337
(270) 443-9474
(270) 443-9477
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-3492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36603
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64035058
—
KY
Enumeration date
06/27/2005
Last updated
11/21/2014
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