Individual
BRIAN K SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
801 N LINCOLN AVE, MONETT, MO 65708-1641
(417) 235-3144
(417) 354-1177
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2012025986
MO
Other
Enumeration date
07/21/2005
Last updated
03/30/2018
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