| Ruth Smothers Md P.c | |
|
501 W Saint Mary Blvd Suite 414 Lafayette LA 70506-4600 | |
| (337) 289-1952 | |
| (337) 289-1954 |
| Full Name | Ruth Smothers Md P.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 501 W Saint Mary Blvd, Lafayette, Louisiana |
| Authorized Official Name and Position | Ruth Smothers (OWNER/PRESIDENT) |
| Authorized Official Contact | 3372891952 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruth Smothers Md P.c Po Box 91450 Lafayette LA 70509-1450 Ph: (337) 289-1952 | Ruth Smothers Md P.c 501 W Saint Mary Blvd Suite 414 Lafayette LA 70506-4600 Ph: (337) 289-1952 |
| NPI Number | 1447442066 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 10/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447442066 | NPI | - | NPPES |
| 1920274 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 08910R (Louisiana) | Primary |
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