Individual
STEPHEN G SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17300 N OUTER 40, SUITE 100, CHESTERFIELD, MO 63005-1361
(636) 519-8889
(636) 536-0120
Mailing address
17300 NORTH OUTER 40 ROAD SUITE 100, HESTERFIELD, MO 00000
(636) 728-1977
(636) 778-1488
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
R3N29
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110827
BCBS
MO
Enumeration date
10/28/2005
Last updated
03/07/2023
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