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Dwayne Smith
NPI 1720292022 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1103 Koen Creek Ct. Apt. A
Park Hills, MO 63601 - Phone
- (573) 747-7059
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri