Individual
SERESE YVONNE SMITH-HAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5510
(573) 632-5810
Mailing address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5510
(573) 632-5810
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2009035426
MO
207V00000X
Obstetrics & Gynecology Physician
KS 04-31151
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100447000D
—
KS
05
—
1518048735
—
MO
Enumeration date
10/17/2006
Last updated
02/11/2016
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