Individual
DR. CHARLES ANDREW SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, DEPT EMERGENCY MED, SAINT LOUIS, MO 63110-1003
(314) 362-9123
(314) 362-0478
Mailing address
660 S EUCLID AVE, CB 8072, SAINT LOUIS, MO 63110-1010
(314) 362-9123
(314) 747-4876
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2022012526
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200109189
—
MO
Enumeration date
04/16/2019
Last updated
07/12/2022
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