Individual
JODY ALLISON BOLTON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1990 CONNECTICUT AVE S, SARTELL, MN 56377-2554
(320) 257-5595
(320) 257-5596
Mailing address
PO BOX 7366, SAINT CLOUD, MN 56302-7366
(320) 257-5595
(320) 257-5596
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
46527
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131470C561
UCARE OF MINNESOTA
MN
01
—
16-03053
MEDICA
MN
01
—
2141654
ARAZ/ AMERICA'S PPO
MN
01
—
284L1BO
BLUE CROSS BLUE SHIELD
MN
01
—
411772562
GREATWEST HEALTHCARE
MN
05
—
492485100
—
MN
01
—
965251040913
PREFERRED ONE
MN
01
—
HP44741
HEALTH PARTNERS
MN
Enumeration date
07/26/2005
Last updated
08/11/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us