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Individual

DR. JASON WILLIAM SMITH

Active
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Individual

DR. JASON WILLIAM SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
70780
WI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
70780
WI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A117649
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD60286469
WA

Other

Enumeration date
06/09/2008
Last updated
10/13/2022
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