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NPI Code Detail

MEDICARE: MR. J DANIEL SMITHSON MD

MEDICARE:  MR. J DANIEL SMITHSON  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD22676OR

General Provider Information

NPI Number : 1427046820
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. J DANIEL SMITHSON MD
Provider Business Mailing Address
First Line : 3950 17TH ST
Second Line : SUITE A
City : BAKER CITY
State : OR
Zip : 97814-1300
Country : US
Telephone Number : 541-523-1001
Fax Number : 541-523-1152
Provider Business Practice Location Address
First Line : 3950 17TH ST
Second Line : SUITE A
City : BAKER CITY
State : OR
Zip : 97814-1300
Country : US
Telephone Number : 541-523-1001
Fax Number : 541-523-1152
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 08/19/2012

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Directions to “ MR. J DANIEL SMITHSON MD” Practice Location

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