Individual
JAMES A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CRNA
Contact information
Practice address
400 PARKLAND DR, FARMINGTON, MO 63640-2906
(573) 756-8000
(573) 756-8288
Mailing address
400 PARKLAND DR, FARMINGTON, MO 63640-2906
(573) 756-8000
(573) 756-8288
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
069686
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913542510
—
MO
Enumeration date
05/20/2006
Last updated
06/22/2016
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