Provider Demographics
NPI:1154462679
Name:SMITH, EARL JUSTICE III (MD)
Entity Type:Individual
Prefix:DR
First Name:EARL
Middle Name:JUSTICE
Last Name:SMITH
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Other - Suffix:
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Mailing Address - Street 1:7545 VETERANS DR
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:MN
Mailing Address - Zip Code:55303-7500
Mailing Address - Country:US
Mailing Address - Phone:612-467-4010
Mailing Address - Fax:
Practice Address - Street 1:7545 VETERANS DR
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:MN
Practice Address - Zip Code:55303-7500
Practice Address - Country:US
Practice Address - Phone:612-467-4010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC1509502084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry