Provider Demographics
NPI:1306136197
Name:SMITH, DEVIN ROBERT HILAR (MD)
Entity type:Individual
Prefix:MR
First Name:DEVIN
Middle Name:ROBERT HILAR
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1026 A AVE NE
Mailing Address - Street 2:ST. LUKE'S HOSPITAL - 6W INPATIENT REHABILITATION
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402
Mailing Address - Country:US
Mailing Address - Phone:319-369-7331
Mailing Address - Fax:319-369-8251
Practice Address - Street 1:1026 A AVE NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-5036
Practice Address - Country:US
Practice Address - Phone:319-369-7331
Practice Address - Fax:319-369-8251
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-13
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAMD-42683208100000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAMD-42683OtherMEDICAL LICENSE