Individual
DAVID SEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2817 SAINT JOHNS BLVD, JOPLIN, MO 64804-1563
(417) 625-2300
(417) 625-2005
Mailing address
2817 SAINT JOHNS BLVD, JOPLIN, MO 64804-1563
(417) 625-2300
(417) 625-2005
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2000170263
MO
207Q00000X
Family Medicine Physician
2000170263
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100114210C
—
OK
05
—
100395140D
—
KS
05
—
207790205
—
MO
Enumeration date
06/12/2006
Last updated
02/10/2012
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