Individual
DR. THOMAS DALE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8929 PARALLEL PKWY, KANSAS CITY, KS 66112-1689
(913) 596-4685
(913) 596-4466
Mailing address
18019 NW AMBER CT, PARKVILLE, MO 64152-5918
(816) 891-0922
(816) 777-1200
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
04-23206
KS
207LP2900X
Pain Medicine (Anesthesiology) Physician
2000160553
MO
208VP0014X
Interventional Pain Medicine Physician
04-23206
KS
208VP0014X
Interventional Pain Medicine Physician
2000160553
MO
Other
Enumeration date
03/30/2006
Last updated
02/06/2013
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