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Individual

JUDITH W SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2781 C T SWITZER SR DR, SUITE 402, BILOXI, MS 39531-4536
(228) 388-0949
(228) 385-1595
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3000

Taxonomy

Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
2004022189
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
192247
BLUE CROSS/BLUE SHIELD
05
209271402
MO
Enumeration date
06/15/2006
Last updated
01/31/2014
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