Organization
METRO NP ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL HENRY SMITH NP-C (FAMILY NURSE PRACTITIONER)
(417) 781-2046
Entity
Organization
Contact information
Practice address
1901 E 32ND ST, SUITE 20, JOPLIN, MO 64804-3072
(417) 781-2046
(417) 781-2086
Mailing address
1901 E 32ND ST, SUITE 20, JOPLIN, MO 64804-3072
(417) 781-2046
(417) 781-2086
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2012028469
MO
261QP2300X
Primary Care Clinic/Center
2012028473
MO
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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