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Ian Smith
NPI 1922630607 · on the registry since 2020
Practice
- Address
- 2275 Sommers Rd
Lake St Louis, MO 63367 - Phone
- (636) 561-0075
- Clinicians at this address
- 2
Additional practice sites
- 6309 Ronald Reagan Dr, Lake St Louis, MO
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-10
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