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Organization

DAVID G. SMITHSON, MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID GERARD SMITHSON M.D. (MEDICAL DIRECTOR INPT. REHAB UNIT)
(816) 943-4554
Entity
Organization

Contact information

Practice address
1010 CARONDELET DR, SUITE 329, KANSAS CITY, MO 64114-4859
(816) 943-4554
(816) 943-4654
Mailing address
1000 CARONDELET DR, MAIL STOP #9, KANSAS CITY, MO 64114-4673
(816) 943-4554
(816) 943-4654

Taxonomy

Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
R8N64
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000556265
BC/BS
KS
01
04-23432
PHYSICIAN LICENSE
KS
05
100120320-B
KS
01
1417947755
PROVIDER NPI
01
16504022
BC/BS KANSAS CITY
MO
05
207674409
MO
01
208100000X
PROIVIDER TAXONOMIE
MO
01
250002027
RR: MEDICARE
MO
01
36374011
BLUE CROSS BLUE SHIELD KC
MO
01
R8N64
PHYSICIAN LICENSE
MO
Enumeration date
09/25/2007
Last updated
09/16/2008
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