Roger A. Smith, M.D.
Internal Medicine in Wisner, LA. Individual provider (NPI-1).
NPI number1023045671
StatusActive
Last updated in NPPESAug 14, 2023
Details
- NPI
- 1023045671
- Entity type
- Individual (NPI-1)
- Name
- Roger A. Smith
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2006
- Certification date
- Aug 14, 2023
- Last updated
- Aug 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 018530 | LA | Yes |
Practice location
126 Watson RdWisner, LA 71378-4660
Phone 318-724-7008 · Fax 318-724-7646
Mailing address
Po Box 8307 Chisum Street
Sicily Island, LA 71368-0008
Phone 318-389-5727 · Fax 318-389-4028
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