Organization
DAVID GLENN SMITH MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE DUKE (OFFICE MANAGER)
(270) 846-3811
Entity
Organization
Contact information
Practice address
1325 ANDREA ST, SUITE 203, BOWLING GREEN, KY 42104-5852
(270) 846-3811
(270) 846-3812
Mailing address
1325 ANDREA ST, SUITE 203, BOWLING GREEN, KY 42104-5852
(270) 846-3811
(270) 846-3812
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
20451
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64204514
—
KY
Enumeration date
10/18/2007
Last updated
11/08/2010
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