Roger Dale Smith
Roger Dale Smith is a Homemaker in Caruthersville, Missouri. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
509 Ward AveCaruthersville, MO 63830-1661
Phone: (573) 333-5777
Fax: (573) 333-2545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X |
|---|
Record details
| NPI number | 1487868196 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 10, 2007 |
| Last updated in NPPES | July 9, 2007 |
| Mailing address | 509 Ward Ave, Caruthersville, MO 63830-1661 |