AUSTIN SMITH IVY MD ⚕️ Missouri 1316529225

NPI	1316529225
Entity Type	Individual
Gender	Male
Sole Proprietor ?	No
Primary Taxonomy	390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date	2021-04-21
Last Update Date	2021-04-21

AUSTIN SMITH IVY MD

200 UCLA MEDICAL PLZ STE 365-A

LOS ANGELES, CA 90095-8344

Phone number: 310-794-7274

AUSTIN SMITH IVY MD

1812 RR Y

DONIPHAN, MO 63935

Phone number: 573-429-7973