Individual
MRS. CRISTIE LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED MEDICAL AS
Contact information
Practice address
119 GAS PLANT RD, REA CLINIC DU QUOIN, DU QUOIN, IL 62832
(618) 724-8702
(618) 724-2571
Mailing address
PO BOX 155, REA CLINIC, CHRISTOPHER, IL 62832
(618) 724-2401
(618) 724-2571
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
IL
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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