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Contact Information

WILLIAM R SMITH, MD
625 E BROADWAY
JACKSON, WY83001
 Phone: 307-733-3636
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for WILLIAM R SMITH · (Male)

NPI # 1003922360
Status Active
Credentials MD
Entity Individual
Enumeration date 08/21/2006
Last updated 02/18/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • WY License # 6990A
  • WY Medicaid 120132800
Hospital affiliation(s)
  • ST JOHNS MEDICAL CENTER - (Acute Care)
    625 EAST BROADWAY
    JACKSON, WY 83001
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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