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Individual

STUART SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
511 BURKARTH RD, WARRENSBURG, MO 64093-3103
(660) 747-8154
(660) 747-9757
Mailing address
511 BURKARTH RD, WARRENSBURG, MO 64093-3103
(660) 747-8154
(660) 747-9757

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R9G54
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
242405629
MO
Enumeration date
06/09/2005
Last updated
02/24/2010
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