Individual
DR. SHARI L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
200 CASTLE DRIVE, JOPLIN, MO 64804-9115
(417) 626-7337
(417) 626-0600
Mailing address
200 CASTLE DRIVE, JOPLIN, MO 64804-9115
(417) 626-7337
(417) 626-0600
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
106071
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100303350B
—
KS
05
—
248898710
—
MO
Enumeration date
03/22/2007
Last updated
01/26/2018
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