Smith Street Medical Clinic

NPI #1326111253 in Sikeston, Missouri

Provider Information

NPI Number: 1326111253
Entity Type: Organization
Organization Name: Smith Street Medical Clinic
Primary Specialty: Family Medicine
Enumeration Date: Nov 16, 2006
Last Updated: Jan 28, 2008

Practice Location

Address: 117 SMITH STREET
City: Sikeston
State: Missouri
ZIP Code: 63801
Phone: (573) 471-7550

Authorized Official

Name: MRS. MICHELE LILLIAN STONE
Title: ADMINISTRATOR
Phone: (573) 471-0200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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