Individual
MARY LEAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 E BROADWAY, SUITE 300, COLUMBIA, MO 65201-8020
(573) 443-8796
(573) 443-0737
Mailing address
1601 E BROADWAY, SUITE 100, COLUMBIA, MO 65201-8020
(573) 443-8796
(573) 443-0737
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2013021809
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942438338
—
MO
Enumeration date
06/24/2009
Last updated
07/13/2016
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