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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
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