ROGER SMITH

HERRIN, IL
NPI1841305463
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085000789)
Enumeration Date2006-08-21
Last Update Date2007-07-08
Business Address
Mr. ROGER SMITH PAC
510 LINCOLN DRIVE SOUTHERN ORTHOPEDIC ASSOCIATES SC
HERRIN, IL 62948
Phone number: 618-997-6800
Mailing Address
Mr. ROGER SMITH PAC
510 LINCOLN DRIVE SOUTHERN ORTHOPEDIC ASSOCIATES SC
HERRIN, IL 62948
Phone number: 618-997-6800
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