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Individual

DR. SHEREA MONICA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 CHILDRENS PL, DIV PED ACADEMICS, STE 2D, SAINT LOUIS, MO 63110-1002
(314) 454-6300
(833) 969-0131
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-6300
(833) 969-0131

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2017010075
MO
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
2017010075
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200029268
MO
Enumeration date
04/18/2014
Last updated
04/17/2025
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