Doctor Name: | DR. STEPHEN DALE SMITH |
NPI Number: | 1982654257 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4309 |
Business Practice Address: | 2825 Fort Missoula Rd #115 Missoula, MT - 598047420 |
Business Phone Number: | 4067284292 |
Business Fax Number: | 4067285770 |
Mailing Address: | 2825 Fort Missoula Rd, #115 MISSOULA |
State: | MT |
Postal Code: | 598047420 |
Phone Number: | 4067284292 |
Fax Number: | 4067285770 |
NPI Enumeration Date: | 05/10/2006 |
NPI Last Update Date: | 12/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 4309 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |