Individual
DR. JACOB E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3600
(417) 875-3625
Mailing address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3600
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2011006609
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538249012
—
MO
05
—
206588907
—
MO
Enumeration date
10/17/2006
Last updated
09/30/2025
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