Individual
ELIZABETH ANNE SMOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
525 N KEENE ST STE 301, COLUMBIA, MO 65201-6967
(573) 449-2141
Mailing address
525 N KEENE ST STE 301, COLUMBIA, MO 65201-6967
(573) 449-2141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2020002739
MO
Other
Enumeration date
06/23/2020
Last updated
09/12/2022
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