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Individual

MARTIN LINDSEY SMART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
51600 HUNTINGTON RD, LA PINE, OR 97739-8887
(541) 536-3435
(541) 536-8047
Mailing address
PO BOX 3300, LA PINE, OR 97739-3300
(541) 536-3435
(541) 536-8047

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD27201
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500633387
OR
Enumeration date
07/01/2005
Last updated
02/13/2020
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