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Individual

DOUGLAS JOEL SMITHSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC PHD

Contact information

Practice address
3166 HWY 83 NO, SEELEY LAKE, MT 59868-1195
(406) 677-2111
Mailing address
PO BOX 1342, SEELEY LAKE, MT 59868-1342
(406) 677-5111

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1256
MN
111N00000X
Chiropractor
Primary
293
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
41950
BCBS
MT
01
T60145
HCFA NAT NC
MT
Enumeration date
01/31/2006
Last updated
07/08/2007
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