Individual
DR. JEFFREY RALPH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(646) 962-3376
Mailing address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(646) 962-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
264037
NY
207N00000X
Dermatology Physician
Primary
9995
SD
207R00000X
Internal Medicine Physician
BP10038253
TX
Other
Enumeration date
06/10/2010
Last updated
08/12/2016
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