Jack Dale Smith is a Urology in Woodland, California. Jack Dale Smith practices all healthcare services and medical treatments related to Urology. The NPI Number for Jack Dale Smith is 1043248818. The last update date is 2017-05-24.
Jack Dale Smith's current location address is 1321 Cottonwood St, Woodland, California. You can contact this provider via phone number 5306661631. The mailing address for Jack Dale Smith is 1321 Cottonwood St, Woodland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Dale Smith |
|---|---|
| Address | 1321 Cottonwood St, Woodland, California |
| Phone Number | 5306661631 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1043248818 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2017-05-24 |
Provider Mailing Address Detail
| Address | 1321 Cottonwood St |
|---|---|
| City | Woodland |
| State | California (CA) |
| Post Code | 9569551310 |
| Phone Number | 5306661631 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | G37180 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G371800 | CA | BLUE SHIELD | |
| 00G371800 | CA | -- | |
| P00745248 | CA | MEDICARE RAILROAD CARRIER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jack Dale Smith by the Centers for Medicare & Medicaid Services?
The Jack Dale Smith has been issued the NPI (National Provider Identifier) 1043248818 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jack Dale Smith's physical address?
The Jack Dale Smith is physically located at 1321 Cottonwood St, in the city of Woodland, CA, with the postal code 9569551310.
What is Jack Dale Smith's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jack Dale Smith's specialized field of practice is Urology, and the corresponding taxonomy code that categorizes this area of specialization is 208800000X.
On what date was the 1043248818 assigned to Jack Dale Smith?
The Jack Dale Smith was issued its 1043248818 on 2006-06-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Jack Dale Smith's information last updated?
The Jack Dale Smith's information was last updated on 2017-05-24.