Individual
STEVEN S. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 339-0909
Mailing address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 339-0909
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R7220
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149354
BLUE CROSS
MO
05
—
240847210
—
MO
Enumeration date
07/13/2005
Last updated
12/11/2013
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