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Individual
DR. TRACY SMITH
Active
Individual
DR. TRACY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
952
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040564
BC/BS PROVIDER #
SD
01
—
1261373
ARAZ PROVIDER #
SD
01
—
2273
AVERA PROVIDER #
SD
01
—
22880
SIOUX VALLEY PROVIDER #
SD
01
—
651276
CHIRO CARE PROVIDER #
SD
05
—
7601062
—
SD
01
—
7921272
AETNA PROVIDER #
SD
01
—
C952
DAKOTACARE PROVIDER #
SD
Enumeration date
01/18/2006
Last updated
10/19/2020
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