Tamara Marie Smith D.O.

NPI 1932118239 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1932118239
Gender Female
Enumeration Date 08/05/2006
Last Updated 01/16/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
525 E. GRANT STREET
OUTPATIENT SERVICES SUITE
MACOMB IL, 61455, US
Phone (309) 836-6937
Fax (309) 836-1547
Business Location
525 E. GRANT STREET
OUT PATIENT SERVICES SUITE
MACOMB IL, 61455, US
Phone (309) 836-6937
Fax
Toxanomy
Taxonomy Code 207V00000X
License State California
License Number 20A6984
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According to our database, Tamara Marie Smith D.O. NPI is 1932118239, taxonomy code is 207V00000X and license number is 20A6984, license state is located at California. Tamara Marie Smith D.O. physically located at 525 E. Grant Street, Macomb IL, 61455. NPI Number Tamara Marie Smith D.O. has the Individual type.

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1932118239 NPI number is provided on an as is basis without warranty of any kind. 1932118239 is maintained by the National Plan & Provider Enumeration System. The contents of Tamara Marie Smith D.O. are for informational purposes only.