Individual
DR. JEFFREY A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1033 BASIN AVE, BISMARCK, ND 58504-6649
(701) 223-6613
(701) 221-9114
Mailing address
1033 BASIN AVE, BISMARCK, ND 58504-6649
(701) 223-6613
(701) 221-9114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5342
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15343
—
ND
Enumeration date
06/05/2006
Last updated
02/15/2021
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