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Organization

ANY LAB TEST NOW OF JOPLIN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARL SMITH FNP-C (FAMILY NURSE PRACTITIONER)
(417) 781-2046
Entity
Organization

Contact information

Practice address
1901 E 32ND ST, SUITE 20, JOPLIN, MO 64804-3072
(417) 781-2046
(417) 781-2086
Mailing address
1901 E 32ND ST, SUITE 20, JOPLIN, MO 64804-3072
(417) 781-2046
(417) 781-2086

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
01/16/2014
Last updated
01/16/2014
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