Individual
DR. DAVID JOSEPH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
197 MCCLEARY RD., DEPT OF VETERANS AFFAIRS EXCELSIOR SPRINGS CBOC, EXCELSIOR SPRINGS, MO 64024
(816) 922-2970
(816) 637-2480
Mailing address
197 MCCLEARY RD., DEPT OF VETERANS AFFAIRS EXCELSIOR SPRINGS CBOC, EXCELSIOR SPRINGS, MO 64024
(816) 922-2970
(816) 637-2480
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO106805
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
243752300
—
MO
01
—
24462057
BDBS OF KC INDIVIDUAL #
—
Enumeration date
02/03/2006
Last updated
04/03/2012
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