Patrick Raymond Smith M.D.

NPI 1093715096 - Family Medicine - 207Q00000X

NPI Details
NPI 1093715096
Gender Male
Enumeration Date 08/01/2005
Last Updated 01/21/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
1001 CARDWELL ST
SAINT CLAIR MO, 63077-1094, US
Phone (636) 629-3300
Fax (636) 629-7377
Business Location
1001 CARDWELL STREET
ST. CLAIR MO, 63077, US
Phone (636) 629-3300
Fax (636) 629-7377
Toxanomy
Taxonomy Code 207Q00000X
License State Missouri
License Number 104058
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According to our database, Dr. Patrick Raymond Smith M.D. NPI is 1093715096, taxonomy code is 207Q00000X and license number is 104058, license state is located at Missouri. Patrick Raymond Smith M.D. physically located at 1001 Cardwell St, Saint Clair MO, 63077-1094. NPI Number Patrick Raymond Smith M.D. has the Individual type.

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1093715096 NPI number is provided on an as is basis without warranty of any kind. 1093715096 is maintained by the National Plan & Provider Enumeration System. The contents of Patrick Raymond Smith M.D. are for informational purposes only.