Organization
SMITH STREET MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE LILLIAN STONE (ADMINISTRATOR)
(573) 471-0200
Entity
Organization
Contact information
Practice address
117 SMITH STREET, SIKESTON, MO 63801
(573) 471-7550
(573) 471-7559
Mailing address
117 SMITH STREET, SIKESTON, MO 63801
(573) 471-7550
(573) 471-7559
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37010
MO
Other
Enumeration date
11/16/2006
Last updated
01/28/2008
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