Individual
DR. PAMELA LOUISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, FNP, RN
Contact information
Practice address
1605 E BROADWAY STE 100, COLUMBIA, MO 65201-8023
(573) 815-8242
(573) 815-8245
Mailing address
1210 DANFORTH DR, COLUMBIA, MO 65201-6234
(573) 864-5098
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
120866
MO
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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