Individual provider · Type 1 NPI

Bonnie R. Smith, MD

Diagnostic Radiology Physician · Jefferson City, MO

NPI number 1073554267 Active

Practice location

1241 W Stadium Blvd
Jefferson City, MO 65109-6023

Call (573) 556-7755 Map

Fax (573) 761-3599

Mailing address

PO Box 104240
Jefferson City, MO 65110-4240

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X2005020853 (MO)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1073554267

Bonnie R. Smith, MD's National Provider Identifier is 1073554267, issued on Jun 9, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jefferson City, MO. The record was last updated on Feb 12, 2010.