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Contact Information

PAUL G SMITH, DO
2827 FORT MISSOULA RD
COMMUNITY MEDICAL CENTER
MISSOULA, MT59804-7408
 Phone: 406-327-4086
 Fax: 406-327-4547
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for PAUL G SMITH · (Male)

NPI # 1902827587
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/21/2006
Last updated 04/28/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 34-003296
  • OH License # 35-003296
  • OH Medicaid 0509346
  • PA Medicaid 1023418340001
  • NY Other 01926585 NY MEDICAID
  • OH Other 647555 AETNA
  • OH Other 000000028209 ANTHEM
  • OH Other 000000526139 ANTHEM
  • OH Other 509346 BCMH
  • OH Other 744702 BUCKEYE
  • OH Other 000000221263 UNISON
  • OH Other 364031 WELLCARE
Hospital affiliation(s)
  • COMMUNITY MEDICAL CENTER INC - (Acute Care)
    2827 FORT MISSOULA RD
    MISSOULA, MT 59804
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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