Jody Allison Bolton Smith in Saint Cloud - Diagnostic Radiology
Jody Allison Bolton Smith - NPI 1306846076
Jody Allison Bolton Smith is a Diagnostic Radiology in Saint Cloud, Minnesota. Jody Allison Bolton Smith practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jody Allison Bolton Smith is 1306846076. The last update date is 2011-08-11.
Jody Allison Bolton Smith's current location address is Po Box 7366, Saint Cloud, Minnesota. You can contact this provider via phone number 3202575595 and fax number 3202575596. The mailing address for Jody Allison Bolton Smith is Po Box 7366, Saint Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jody Allison Bolton Smith |
|---|---|
| Address | Po Box 7366, Saint Cloud, Minnesota |
| Phone Number | 3202575595 |
| Fax Number | 3202575596 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1306846076 |
|---|---|
| Provider Enumeration Date | 2005-07-26 |
| Last Updated Date | 2011-08-11 |
Provider Mailing Address Detail
| Address | Po Box 7366 |
|---|---|
| City | Saint Cloud |
| State | Minnesota (MN) |
| Post Code | 563027366 |
| Phone Number | 3202575595 |
| Fax Number | 3202575596 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 46527 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2141654 | MN | ARAZ/ AMERICA'S PPO | |
| 16-03053 | MN | MEDICA | |
| 284L1BO | MN | BLUE CROSS BLUE SHIELD | |
| 411772562 | MN | GREATWEST HEALTHCARE | |
| 965251040913 | MN | PREFERRED ONE | |
| 131470C561 | MN | UCARE OF MINNESOTA | |
| 411772562 | MN | TRICARE | |
| 492485100 | MN | -- | |
| HP44741 | MN | HEALTH PARTNERS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jody Allison Bolton Smith?
The Jody Allison Bolton Smith has been issued the NPI (National Provider Identifier) 1306846076 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Jody Allison Bolton Smith is physically located?
The Jody Allison Bolton Smith is physically situated at the following address: Po Box 7366, Saint Cloud, MN, 563027366.
What is Jody Allison Bolton Smith's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jody Allison Bolton Smith's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306846076 to Jody Allison Bolton Smith?
The Jody Allison Bolton Smith received its 1306846076 assignment from the Centers for Medicare & Medicaid Services on 2005-07-26.
When was the information regarding Jody Allison Bolton Smith most recently updated?
The details pertaining to the Jody Allison Bolton Smith, including its address, specialty, and other relevant information, were last refreshed on 2011-08-11.