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Individual
DR. SUZAN JO SMITH
Active
Individual
DR. SUZAN JO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4400
TX
111N00000X
Chiropractor
5041
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8M0030
BCBS
TX
Enumeration date
07/12/2006
Last updated
02/06/2008
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