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Individual

DR. MORTON E SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
517 S EUCLID AVE, SAINT LOUIS, MO 63110-1007
(314) 747-5559
(314) 362-2420
Mailing address
660 S EUCLID AVE, C B 8096, SAINT LOUIS, MO 63110-1010
(314) 747-5559
(314) 362-2420

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R2922
MO
207ZB0001X
Blood Banking & Transfusion Medicine Physician
R2922
MO
207ZP0101X
Anatomic Pathology Physician
R2922
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0230160067
IL
05
200542322
MO
Enumeration date
07/17/2006
Last updated
01/29/2018
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