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Individual

DR. JASON A SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1820 RICE ST, SAINT PAUL, MN 55113-6810
(651) 489-6550
(651) 489-6556
Mailing address
1820 RICE ST, SAINT PAUL, MN 55113-6810
(651) 489-6550
(651) 489-6556

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3356
MN
171100000X
Acupuncturist
525
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
553S1SM
BCBS
MN
05
590716100
MN
Enumeration date
10/20/2006
Last updated
01/04/2024
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