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Individual

DR. DAVID RAYMOND SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
8685 OLIVE BOULEVARD, UNIVERSITY CITY, MO 63132-6313
(314) 219-5461
(314) 219-5464
Mailing address
8685 OLIVE BOULEVARD, UNIVERSITY CITY, MO 63132-1205
(314) 219-5461
(314) 219-5464

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2007019153
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942408869
MO
Enumeration date
07/03/2007
Last updated
04/13/2023
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