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NPI Code Detail

MEDICARE: DR. DALE WALLACE SMITH MD

MEDICARE: DR. DALE WALLACE SMITH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease Physician2024026585MO

General Provider Information

NPI Number : 1881199271
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DALE WALLACE SMITH MD
Provider Business Mailing Address
First Line : 1004 CARONDELET DR STE 300
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-4858
Country : US
Telephone Number : 816-942-4500
Fax Number : 816-941-4504
Provider Business Practice Location Address
First Line : 1004 CARONDELET DR STE 300
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-4858
Country : US
Telephone Number : 816-942-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2018
Last Update Date : 05/07/2026

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Directions to “ DR. DALE WALLACE SMITH MD” Practice Location

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