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NPI Code Detail

MEDICARE: DR. RITA J. CHERNI-SMITH MD

MEDICARE: DR. RITA J. CHERNI-SMITH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianG9440TX
2207R00000XInternal Medicine PhysicianMD14009OR
3207R00000XInternal Medicine Physician5870AWY

General Provider Information

NPI Number : 1265466643
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RITA J. CHERNI-SMITH MD
Provider Business Mailing Address
First Line : PO BOX 787
Second Line : 1039 WYOMING HIGHWAY 345
City : RANCHESTER
State : WY
Zip : 82839-0787
Country : US
Telephone Number : 307-655-2317
Fax Number :
Provider Business Practice Location Address
First Line : 1401 W 5TH ST
Second Line :
City : SHERIDAN
State : WY
Zip : 82801-2705
Country : US
Telephone Number : 307-675-2667
Fax Number : 307-675-2668
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 01/20/2023

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