SAMUEL ALAN SMITH

FORT LEONARD WOOD, MO
NPI1134605199
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  848542)
Enumeration Date2018-07-12
Last Update Date2018-07-12
Business Address
SAMUEL ALAN SMITH CRNA
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-596-0035
Mailing Address
SAMUEL ALAN SMITH CRNA
18330 CHARITY DR
DIXON, MO 65459-8383
Phone number: 913-306-4654
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