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Individual

DAVID JAMES SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1740 WEIR DRIVE, SUITE 24, VALLEY CREEK MALL ANNEX, WOODBURY, MN 55125-2282
(651) 232-6830
(651) 702-2636
Mailing address
1740 WEIR DRIVE, SUITE 24, VALLEY CREEK MALL ANNEX, WOODBURY, MN 55125-2282
(651) 232-6830
(651) 702-2636

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1967
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
494228100
MN
Enumeration date
11/01/2006
Last updated
10/09/2015
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