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General NPI Number Information
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NPI Number | 1073738902
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Entity Type | Individual
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Provider Name | DANNY PAUL SMITH DO
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Gender | Male
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7105 NW 70TH AVE
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City | JOHNSTON
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State | IA
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Zip | 50131-1824
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Country | US
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Telephone | 515-252-4317
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Fax |
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Provider Business Mailing Address
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Address Line | 3313 SW 29TH ST
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City | ANKENY
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State | IA
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Zip | 50023-8878
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Country | US
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Telephone | 515-965-9775
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 02300
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License Number State | IA
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