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1730586777
MARK GERARD SMITH
POPLAR BLUFF, MO
NPI
1730586777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: MO 2014039475)
Enumeration Date
2014-11-19
Last Update Date
2019-07-30
Business Address
MARK GERARD SMITH DPT
225 PHYSICIANS PARK SUITE 101
POPLAR BLUFF, MO 63901-3956
Phone number: 573-778-9348
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Mailing Address
MARK GERARD SMITH DPT
4273 KEATON CROSSING BLVD
O FALLON, MO 63368-8220
Phone number: 636-206-4225
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