Individual
PETER GAILLARD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
621 S NEW BALLAS RD, STE 597A, SAINT LOUIS, MO 63141-8214
(314) 432-5151
(314) 432-8795
Mailing address
621 S NEW BALLAS RD, STE 597A, SAINT LOUIS, MO 63141-8214
(314) 432-5151
(314) 432-8795
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
MDR8770
MO
Other
Enumeration date
06/09/2005
Last updated
11/09/2007
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