Individual
DR. BONNIE R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 556-7755
(573) 761-3599
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 556-7755
(576) 761-3599
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2005020853
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200396604
—
MO
01
—
751486
HEALTHLINK
MO
01
—
P00317767
RAILROAD MEDICARE
MO
Enumeration date
06/09/2006
Last updated
02/12/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us