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1073554267
BONNIE R SMITH
JEFFERSON CITY, MO
NPI
1073554267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: MO 2005020853)
Enumeration Date
2006-06-09
Last Update Date
2010-02-12
Business Address
DR. BONNIE R SMITH M.D.
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109-6023
Phone number: 573-556-7755
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Mailing Address
DR. BONNIE R SMITH M.D.
PO BOX 104240
JEFFERSON CITY, MO 65110-4240
Phone number: 573-556-7755
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