Individual
NORMAN ALAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
307 MAIN ST, PINEVILLE, MO 64856
(417) 223-4103
(417) 223-4102
Mailing address
PO BOX 37, 307 MAIN ST, PINEVILLE, MO 64856
(417) 223-4103
(417) 223-4102
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003822
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2106860001
—
MO
Enumeration date
06/05/2007
Last updated
07/09/2007
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