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Dr. Bonnie R Smith, MD
Diagnostic Radiology Physician in Jefferson City, Missouri
NPI 1073554267

Bonnie R Smith is a Diagnostic Radiology Physician based in Jefferson City, MO and is specialized in Diagnostic Radiology. Bonnie R Smith practices in Jefferson City, MO and has the professional credentials of MD. The NPI Number for Bonnie R Smith is 1073554267 and holds a License No. 2005020853 (Missouri).

The current practice location address for Bonnie R Smith is 1241 W Stadium Blvd, Jefferson City, MO and can be reached out via phone at 573-556-7755 and via fax at 573-761-3599. You can also correspond with Bonnie R Smith through the mailing address at PO BOX 104240, JEFFERSON CITY, MO - 65110-4240 (mailing address contact number: 573-556-7755).

Location: 1241 W Stadium Blvd, Jefferson City, MO, 65110-4240
person
Provider Profile Details
NPI Number
1073554267
Provider Name
Bonnie R Smith
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1241 W Stadium Blvd, Jefferson City, MO, 65110-4240
Phone Number
573-556-7755
Fax Number
573-761-3599
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00317767 01 MO RAILROAD MEDICARE
751486 01 MO HEALTHLINK
200396604 05 MO
institution
Provider Business Practice Location Address Details
Address
1241 W Stadium Blvd
City
State
Zip
65109-6023
Phone Number
573-556-7755
Fax Number
573-761-3599
person
Provider Business Mailing Address Details
Address
1241 W Stadium Blvd
City
State
Zip
65109-6023
Phone Number
573-556-7755
Fax Number
573-761-3599
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
2005020853 (Missouri)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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