| Gilbert D. Smith, M.d., Llc | |
|
2210 Barron Rd Suite 219 Poplar Bluff MO 63901-1908 | |
| (573) 686-2811 | |
| (573) 686-3441 |
| Full Name | Gilbert D. Smith, M.d., Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 2210 Barron Rd, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Gilbert D Smith (OWNER) |
| Authorized Official Contact | 5736862811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gilbert D. Smith, M.d., Llc 2210 Barron Rd Suite 219 Poplar Bluff MO 63901-1908 Ph: (573) 686-2811 | Gilbert D. Smith, M.d., Llc 2210 Barron Rd Suite 219 Poplar Bluff MO 63901-1908 Ph: (573) 686-2811 |
| NPI Number | 1225016884 |
|---|---|
| Provider Enumeration Date | 01/04/2006 |
| Last Update Date | 04/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225016884 | NPI | - | NPPES |
| 500910708 | Medicaid | MO | |
| 596062703 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | R5B27 (Missouri) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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