Most Relevant Information
Provider Data
NPI Number: | 1003067240 |
Provider Name: | MATTHEW RUSSELL SMEDS MD |
Entity Type: | Individual |
Taxonomy Code: | 2086S0129X |
Specialty: | Surgery |
License Number: | 2010011922 |
Most Important Dates
Enumeration Date: | 10/07/2008 |
Last Updated: | 03/22/2021 |
Provider Practice Location
1225 S GRAND BLVD
SAINT LOUIS
MO
631041016
Practice Location Phone/Fax
Phone: | 3149774730 |
Fax: | 3149771642 |
Provider Mailing Location
1008 S SPRING AVE
SAINT LOUIS
MO
631102520
Provider Mailing Phone/Fax
Phone: | 3149774730 |
Fax: | 6189771642 |