Provider Demographics
NPI:1336197342
Name:SMELSER, DANNY NEAL (MD)
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:NEAL
Last Name:SMELSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6630 COUNTY ROAD 41
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35633-6809
Mailing Address - Country:US
Mailing Address - Phone:256-637-6705
Mailing Address - Fax:
Practice Address - Street 1:16504 COUNTY ROAD 150
Practice Address - Street 2:
Practice Address - City:COURTLAND
Practice Address - State:AL
Practice Address - Zip Code:35618-0189
Practice Address - Country:US
Practice Address - Phone:256-637-6840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9817207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51556058Medicaid
AL9817OtherSTATE MEDICAL LICENSE
MS16559OtherSTATE MEDICAL LICENSE
ALC67867Medicare UPIN