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1699779538
DANIEL BURTION SMITH
DECATUR, IL
NPI
1699779538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036070695)
Enumeration Date
2005-06-09
Last Update Date
2021-12-30
Business Address
DANIEL BURTION SMITH M.D.
4965 E LOST BRIDGE RD
DECATUR, IL 62521-5139
Phone number: 217-864-5531
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Mailing Address
DANIEL BURTION SMITH M.D.
1200 N STATE HIGHWAY 121
MT ZION, IL 62549-1224
Phone number: 217-864-5531
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