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Individual

DR. CHRISTOPHER ALLEN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2422 W CENTRAL AVE, SUITE C, EL DORADO, KS 67042-3239
(316) 452-5999
(316) 452-5624
Mailing address
8501 W CANDLEWOOD ST, WICHITA, KS 67205-8617
(316) 708-9992
(316) 452-5624

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1826
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200579470C
KS
Enumeration date
08/03/2008
Last updated
10/03/2012
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