Organization
FRED SMELTZER MD & ASSOCIATES INC
Active
Other names
Lake of the Ozarks Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL VIERRA MD (PRESIDENT)
(573) 348-8353
Entity
Organization
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8353
Mailing address
PO BOX 937, SEDALIA, MO 65302-0937
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2196
BCBS
MO
Enumeration date
05/17/2006
Last updated
03/11/2008
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