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Individual

JONATHAN G SMEDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
7200 WYOMING SPGS STE 1150, ROUND ROCK, TX 78681-4310
(512) 255-0125
(512) 255-0153
Mailing address
7200 WYOMING SPGS STE 1150, ROUND ROCK, TX 78681-4310
(512) 255-0125
(512) 255-0153

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1664
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
165612601
TX
01
8M2370
BCBS
TX
Enumeration date
04/05/2006
Last updated
02/18/2011
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