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Individual

JASON T. SMOTHERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6565 E CARONDELET DR STE 155, TUCSON, AZ 85710-3587
(520) 849-8900
(520) 849-7137
Mailing address
4892 N STONE AVE STE 140, TUCSON, AZ 85704-5729
(520) 833-5200
(520) 318-7101

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
16183
HI
208800000X
Urology Physician
18095
OK
208800000X
Urology Physician
Primary
60976
AZ

Other

Enumeration date
04/15/2006
Last updated
11/13/2023
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