DR. Jack Dale Smith, M.D.

NPI #1043248818 in Woodland, California

Provider Information

NPI Number: 1043248818
Entity Type: Individual
Name: DR. Jack Dale Smith, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: M.D.
Enumeration Date: Jun 29, 2006
Last Updated: May 24, 2017

Practice Location

Address: 1321 COTTONWOOD ST
Address 2: SUITE 302
City: Woodland
State: California
ZIP Code: 95695-5131
Phone: (530) 666-1631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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