Individual
DR. STEPHEN DALE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2330 SHAWNEE MISSION PARKWAY, WESTWOOD, KS 66205
(913) 588-6340
(913) 588-2245
Mailing address
3901 RAINBOW BLVD, UNIVERSITY OF KANSAS MEDICAL CENTER, KANSAS CITY, KS 66160
(913) 588-6340
(913) 588-2245
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
036079523
IL
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
04-17361
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036079523
—
IL
05
—
100287090B
—
KS
Enumeration date
08/14/2006
Last updated
03/27/2012
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