Individual
DR. MICHAEL G SMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
119472
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912976028
—
MO
01
—
P00265346
RAILROAD MEDICARE
MO
Enumeration date
03/14/2006
Last updated
12/19/2014
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