Individual
DANIEL RICHARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
633 EMERSON RD STE 20, CREVE COEUR, MO 63141-6739
(314) 325-3068
Mailing address
387 AUTUMN CREEK DR APT H, MANCHESTER, MO 63088-2402
(636) 432-2216
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/11/2017
Last updated
04/29/2020
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