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NPI Code Detail

MEDICARE: CRAIG P SMITH MD

MEDICARE: CRAIG P 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
1207X00000XOrthopaedic Surgery Physician5538AWY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1303685OTHERWYBCBS

General Provider Information

NPI Number : 1447252085
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG P SMITH MD
Provider Business Mailing Address
First Line : 4140 CENTENNIAL HILLS BLVD
Second Line : STE A
City : CASPER
State : WY
Zip : 82609-3265
Country : US
Telephone Number : 307-265-7205
Fax Number : 307-235-6262
Provider Business Practice Location Address
First Line : 4140 CENTENNIAL HILLS BLVD
Second Line : STE A
City : CASPER
State : WY
Zip : 82609-3265
Country : US
Telephone Number : 307-265-7205
Fax Number : 307-235-6262
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 10/05/2007

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1942202585 — STEVEN A ORCUTT MD
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Directions to “ CRAIG P SMITH MD” Practice Location

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