Individual
DR. JOEL LATIMER SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PL CB 8116, SAINT LOUIS, MO 63110
(314) 454-6148
(314) 454-4633
Mailing address
1 CHILDRENS PL CB 8116, SAINT LOUIS, MO 63110
(314) 454-6148
(314) 454-4633
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2021025590
MO
2080N0001X
Neonatal-Perinatal Medicine Physician
01093611A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300091316
—
IN
Enumeration date
06/27/2018
Last updated
06/10/2024
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