Individual
DR. PATRICK RAYMOND SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 CARDWELL ST, SAINT CLAIR, MO 63077-1094
(636) 629-3300
(636) 629-7377
Mailing address
1001 CARDWELL STREET, ST. CLAIR, MO 63077
(636) 629-3300
(636) 629-7377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
104058
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208282608
—
MO
01
—
P01135423
RAILROAD MEDICARE
MO
Enumeration date
08/01/2005
Last updated
01/21/2015
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