Individual
DR. STEPHANIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
16925 MANCHESTER RD, SUITE 1, GROVER, MO 63040-1219
(636) 458-7575
(636) 458-7979
Mailing address
278 CARMEL WOODS DR, ELLISVILLE, MO 63021-4715
(636) 527-1876
(636) 458-7575
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2004004400
MO
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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