Individual
HOLLIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2015 MAPLEWOOD COMMONS DR, SAINT LOUIS, MO 63143-1003
(314) 293-4023
Mailing address
5510 PERSHING AVE APT 334, SAINT LOUIS, MO 63112-1952
(662) 255-6750
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2017010106
MO
Other
Enumeration date
04/03/2017
Last updated
12/14/2018
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