Individual
DR. GREGORY H SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1070 OLD DES PERES RD, SAINT LOUIS, MO 63131-1865
(314) 821-8644
(314) 821-4858
Mailing address
339 CONSORT DR, BALLWIN, MO 63011-4439
(636) 386-9224
(636) 386-7679
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
R1E02
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242057925
—
MO
Enumeration date
06/23/2005
Last updated
08/02/2011
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