| Doctor Name: | MICHAEL CORDON SMITH |
| NPI Number: | 1588748164 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 528684 |
| Business Practice Address: | Cmr 454 Box 2322 Apo Ae, BAVARIA - 09250 |
| Business Phone Number: | 09802832663 |
| Business Fax Number: | |
| Mailing Address: | Cmr 454 Box 2322, APO AE |
| State: | NY |
| Postal Code: | 09250 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 528684 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |