DR. Jonathan Tyler Smith, MD

NPI #1255913307 in Fallon, Nevada

Provider Information

NPI Number: 1255913307
Entity Type: Individual
Name: DR. Jonathan Tyler Smith, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: MD
Enumeration Date: Apr 27, 2021
Last Updated: Aug 11, 2025

Practice Location

Address: 4755 PASTURE RD BLDG 299
City: Fallon
State: Nevada
ZIP Code: 89496-5000
Phone: (775) 426-3128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider	171000000X
Student in an Organized Health Care Education/Training Program	390200000X
General Practice	208D00000X	Primary

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