Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CARL ASHLEY SMOOT, DO,FCCP, DABSM
ActiveDR. CARL ASHLEY SMOOT, DO,FCCP, DABSM is a Sports Medicine (IM) healthcare provider located in IRON MOUNTAIN, Michigan. NPI 1861457889 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · IRON MOUNTAIN, MI
Registration Details
- NPI Number
- 1861457889
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2006 (20.356641084058 yrs)
- Last Updated
- Nov 25, 2009
- Licenses
-
CS006908 (MI)CS006903 (MI)
Practice Information
- Address
-
1711 S STEPHENSON AVESUITE 215IRON MOUNTAIN, MI, 498013639Browse MI providers · Browse ZIP 49801
- Phone
- 9067797050
- Fax
- 9067743325
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Sports Medicine (IM)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.