Individual
DR. ANNETTE R SMITH
Active
Individual
DR. ANNETTE R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2004026439
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2004026439
MO
207RP1001X
Pulmonary Disease Physician
2004026439
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001775800
CHP
MO
05
—
200277580A
—
KS
05
—
205865009
—
MO
01
—
34588011
BLUE CROSS BLUE SHIELD KC
MO
01
—
7010386
AETNA
MO
Enumeration date
07/07/2006
Last updated
12/19/2014
Update your record
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