TIANNA ROSE SMITH

WAGNER, SD
NPI1578129557
Former NameTIANNA ROSE VOGT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: SD  13569)
Enumeration Date2019-05-14
Last Update Date2025-01-13
Business Address
TIANNA ROSE SMITH MD
513 3RD ST SW
WAGNER, SD 57380-9675
Phone number: 605-384-3611
Mailing Address
TIANNA ROSE SMITH MD
PO BOX 280
WAGNER, SD 57380-0280
Phone number: 605-384-3611