Individual
STEPHEN A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
806 N DOUGLASS ST, MALDEN, MO 63863-1512
(573) 276-3873
Mailing address
2620 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3396
(573) 727-2772
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R9G34
MO
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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