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Organization

JASON A SMITH DC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON A SMITH DC (CFO)
(651) 489-6550
Entity
Organization

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
590716100
MN
Enumeration date
06/18/2007
Last updated
02/21/2024
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