Individual
JEFFREY RYAN SMIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 NW 114TH ST, STE: 230, CLIVE, IA 50325-7007
(515) 222-7761
(515) 222-7926
Mailing address
PO BOX 4925, DES MOINES, IA 50305-4925
(515) 222-7761
(515) 222-7926
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
38808
IA
207Y00000X
Otolaryngology Physician
MT186055
PA
Other
Enumeration date
06/14/2008
Last updated
07/20/2010
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