Doctor Name: | DR. MATTHEW RUSSELL SMEDS |
NPI Number: | 1003067240 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 2010011922 |
Business Practice Address: | 3635 Vista Ave Saint Louis, MO - 631102539 |
Business Phone Number: | 3145778310 |
Business Fax Number: | |
Mailing Address: | 7721 Delmar Blvd # 1, UNIVERSITY CITY |
State: | MO |
Postal Code: | 631303916 |
Phone Number: | 3143878770 |
Fax Number: | |
NPI Enumeration Date: | 10/07/2008 |
NPI Last Update Date: | 07/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | 2010011922 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |