Individual
JASON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1104 MONROE ST SW, HUNTSVILLE, AL 35801-5029
(256) 265-5864
(256) 265-5865
Mailing address
1104 MONROE ST SW, HUNTSVILLE, AL 35801-5029
(256) 265-5864
(256) 265-5865
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
00025895
AL
207RP1001X
Pulmonary Disease Physician
Primary
25895
AL
Other
Enumeration date
09/20/2006
Last updated
08/25/2016
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