Bonnie R Smith in Jefferson City - Diagnostic Radiology

Bonnie R Smith - NPI 1073554267

Bonnie R Smith is a Diagnostic Radiology in Jefferson City, Missouri. Bonnie R Smith practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Bonnie R Smith is 1073554267. The last update date is 2010-02-12.

Bonnie R Smith's current location address is Po Box 104240, Jefferson City, Missouri. You can contact this provider via phone number 5735567755 and fax number 5767613599. The mailing address for Bonnie R Smith is Po Box 104240, Jefferson City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Bonnie R Smith
Address Po Box 104240, Jefferson City, Missouri
Phone Number 5735567755
Fax Number 5767613599
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1073554267
Provider Enumeration Date 2006-06-09
Last Updated Date 2010-02-12

Provider Mailing Address Detail

Address Po Box 104240
City Jefferson City
State Missouri (MO)
Post Code 651104240
Phone Number 5735567755
Fax Number 5767613599

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 2005020853
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00317767 MO RAILROAD MEDICARE
751486 MO HEALTHLINK
200396604 MO --

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FAQs about Bonnie R Smith

What is the unique identifier code issued to Bonnie R Smith by the Centers for Medicare & Medicaid Services (CMS)?

The Bonnie R Smith has been assigned the NPI (National Provider Identifier) 1073554267. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Bonnie R Smith's physical address?

The Bonnie R Smith is physically located at Po Box 104240, in the city of Jefferson City, MO, with the postal code 651104240.

What is Bonnie R Smith's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Bonnie R Smith is Diagnostic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0202X.

When was the Bonnie R Smith's 1073554267 issued?

The Bonnie R Smith's 1073554267 was issued on 2006-06-09.

As of what date was the information regarding Bonnie R Smith, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Bonnie R Smith, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-02-12.

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