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Individual

HAROLD A SMART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
719 W CENTENIAL, CARTHAGE, MO 64836
(417) 359-9502
(417) 358-8660
Mailing address
PO BOX 3810, JOPLIN, MO 64803
(417) 359-9502
(417) 358-8660

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
118282
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080140494
RR MEDICARE
05
100193980A
OK
05
100344000A
KS
01
119881
ANTHEM
MO
05
244637104
MO
Enumeration date
07/03/2006
Last updated
10/18/2007
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