| Doctor Name: | ROBERT E SMITH |
| NPI Number: | 1356771257 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | EMT |
| License Number: | I0713645 |
| Business Practice Address: | Blding 301 Andrew Ave Ft Rucker, AL - 36362 |
| Business Phone Number: | 3342557000 |
| Business Fax Number: | |
| Mailing Address: | Blding 301 Andrew Ave, FT RUCKER |
| State: | AL |
| Postal Code: | 36362 |
| Phone Number: | 3342557000 |
| Fax Number: | |
| NPI Enumeration Date: | 11/14/2013 |
| NPI Last Update Date: | 11/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146M00000X |
| License Number: | I0713645 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Intermediate |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |