Individual
REBECCA L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
211 SAINT FRANCIS DR, SUITE 15, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3333
(573) 331-3334
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2012007485
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060068688
MEDICARE RAILROAD
OK
05
—
100043380A
—
OK
05
—
1083684583
—
IL
05
—
7100196110
—
KY
01
—
OK700125
MEDICARE PTAN
OK
01
—
P00611418
MEDICARE RAILROAD
OK
01
—
P01036441
RR MEDICARE
MO
Enumeration date
01/25/2006
Last updated
02/25/2021
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