Individual
MANDOLIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 BRANSON LANDING BLVD, BRANSON, MO 65616-2052
(417) 335-7218
Mailing address
1022 E CHESTNUT ST, CARTHAGE, MO 64836-1417
(417) 499-7770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MO
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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