Serese Yvonne Smith-Haxton, MD Valid NPI
Individual provider · Obstetrics & Gynecology Physician · Jefferson City, MO
- NPI
- 1518048735
- Type
- Individual (Type 1)
- Primary specialty
- Obstetrics & Gynecology Physician (Obstetrics & Gynecology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207V00000X
- License number
- 2009035426 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-10-17
- Last updated
- 2016-02-11
Practice location
1125 Madison St
Jefferson City, MO 65101-5227
(573) 632-5510