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Dr. Rodney Smith

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NPI Number Detailed Information

Provider Information:

Name: Dr. Rodney Smith
Gender: M
Provider License Number If Given: 6457

NPI Information:

NPI: 1720087380
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 1206 S MAIN ST
Maryville, MO 64468
Phone Number: 6605825959
Fax Number: 6605826373

Provider Business Practice Location Address:

Address: 1206 S MAIN ST
Maryville, MO 64468
Phone Number: 6605825959
Fax Number: 6605826373

Provider Taxonomy:

Primary: 111N00000X
Secondary (if any):
State: MO

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