NPI | 1649448804 |
---|---|
Former Legal Business Name | REX D. SMITH, DPM PC |
Entity Type | Organization |
Authorized Contact | SCOTT W ROBERTSON Doctor 541-342-3373 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: OR DP00142) |
Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
Enumeration Date | 2008-02-11 |
Last Update Date | 2019-05-06 |