Organization
HOMETOWN PEDIATRICS OF JOPLIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARI LYNNE SMITH D.O. (OWNER)
(417) 626-7337
Entity
Organization
Contact information
Practice address
200 CASTLE DR, JOPLIN, MO 64804-9115
(141) 762-6733
(417) 626-0600
Mailing address
2302 E 32ND ST, JOPLIN, MO 64804-4301
(417) 626-7337
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100303350B
—
KS
05
—
248898710
—
MO
Enumeration date
08/27/2014
Last updated
09/19/2023
Update your record
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