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TRAVIS WILLIAM SMOOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 884-7770
(573) 882-9876
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2019018190
MO
2085R0202X
Diagnostic Radiology Physician
Primary
2023010983
MO

Other

Enumeration date
06/28/2018
Last updated
04/04/2023
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