NPI 1093175846

Jamie Daun Smith, ATC

Practitioner Sports Medicine (Preventive Medicine) Physician Fort Leonard Wood, MO

Practice location

Address: 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098
Phone: (573) 596-7503
Mailing address: 123 Hull Dr, Waynesville, MO 65583-2360

Registered specialties (2)

Sports Medicine (Preventive Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083S0010X Licence 2016042470 (MO)

Other Preventive Medicine providers in Missouri →

Sports Medicine (Preventive Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 2083S0010X Licence 1634 (AL)

Registry record

NPI: 1093175846
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Mar 2016
Record last updated: 13 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.