Individual
DR. JUDD MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3107 FREDERICK AVE STE B, SAINT JOSEPH, MO 64506-3082
(816) 233-9888
(816) 233-9888
Mailing address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-7099
(660) 562-7999
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2019009679
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2013
Last updated
11/12/2019
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