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Individual

LESLIE W SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1501 4TH ST SW, MASON CITY, IA 50401-2737
(641) 428-5932
(641) 428-6160
Mailing address
621 S ILLINOIS AVE, SUITE 103, MASON CITY, IA 50401-5489
(641) 428-3041
(641) 428-3059

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
101951
MN
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
4390
IA

Other

Enumeration date
06/15/2006
Last updated
04/18/2013
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