Bruce Sylvester Smith MD LLC

NPI #1568634806 in Streator, Illinois

Provider Information

NPI Number
1568634806
Entity Type
Organization
Organization Name
Bruce Sylvester Smith MD LLC
Primary Specialty
Specialist
Enumeration Date
Mar 27, 2008
Last Updated
Mar 27, 2008

Practice Location

Address
104 W 6TH ST
Address 2
SUITE 206
ZIP Code
61364-2899
Phone
(815) 672-1610

Authorized Official

Name
DR. BRUCE SYLVESTER SMITH, MD
Title
OWNER
Phone
(815) 672-1610

Specialties & Taxonomy Codes

Specialty
Specialist

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