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Individual

RICHARD LEE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1502 N JEFFERSON ST, CARROLLTON, MO 64633-1948
(660) 542-9998
(660) 542-9880
Mailing address
1502 N JEFFERSON ST, ATTN: JEAN STEELE, CARROLLTON, MO 64633-1948
(660) 542-1695
(660) 542-0363

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
107238
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208178913
MO
Enumeration date
05/25/2006
Last updated
12/05/2024
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