Smith, Gary Mark

Smith, Gary Mark is an individual health care provider with primary practice located at 3330 Masonic Dr Christus Cabrini Group Practice - Intensivists, Alexandria LA 71301-3841. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Smith, Gary Mark can be contacted via phone (318) 448-6700.

Contact Information

Primary practice address
3330 Masonic Dr Christus Cabrini Group Practice - Intensivists Alexandria LA 71301-3841
Fax: (318) 483-4066
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD06275R Louisiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD.06275R Louisiana

Profile Details

NPI number 1578512877
LBN Legal business name Smith, Gary Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Jan 16th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578512877 NPPES
Louisiana MEDICAID 1338133

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