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Individual

DR. SHANNON SMITH PROGRAIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-1111
Mailing address
4332 LINDELL BLVD, SAINT LOUIS, MO 63108-2702

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2015013506
MO

Other

Enumeration date
06/04/2015
Last updated
06/04/2015
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