Individual
DR. CHAD J. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
18800 SCHNUCKS DR STE B, WARRENTON, MO 63383-1121
(636) 456-3413
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-0001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2003015262
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209231604
—
MO
Enumeration date
06/27/2005
Last updated
06/12/2024
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