Organization
NORTH CENTRAL UROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANET E SMITH M.D. (PRESIDENT)
(605) 331-4493
Entity
Organization
Contact information
Practice address
1700 S MINNESOTA AVE, SIOUX FALLS, SD 57105-1723
(605) 331-4493
(605) 331-0038
Mailing address
1700 S MINNESOTA AVE, SIOUX FALLS, SD 57105-1723
(605) 331-4493
(605) 331-0038
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0284
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040053
IA BCBS JANET SMITH
IA
01
—
0284
SD BOARD OF MEDICAL EXAM
SD
05
—
0989319
—
IA
01
—
4334139
AETNA
SD
01
—
4996954
IA BCBS
IA
05
—
6821984
—
SD
05
—
709085400
—
MN
01
—
7K939NO
MN BCBS
MN
01
—
7K9402M
MN BCBS JANET SMITH
MN
01
—
S40024
PTAN
SD
Enumeration date
10/05/2006
Last updated
02/13/2014
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