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Dr. Jack Dale Smith, MD
Urology Physician in Woodland, California
NPI 1043248818

Jack Dale Smith is a Urology Physician based in Rancho Cordova, CA. Jack Dale Smith practices in Woodland, CA and has the professional credentials of MD. The NPI Number for Jack Dale Smith is 1043248818 and holds a License No. G37180 (California).

The current practice location address for Jack Dale Smith is 1321 Cottonwood St, Woodland, CA and can be reached out via phone at 530-666-1631.

Location: 1321 Cottonwood St, Woodland, CA, 95670-7956
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043248818
Provider Name
Jack Dale Smith
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1321 Cottonwood St, Woodland, CA, 95670-7956
Phone Number
530-666-1631
Fax Number
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G371800 01 CA BLUE SHIELD
00G371800 05 CA
P00745248 01 CA MEDICARE RAILROAD CARRIER
institution
Provider Business Practice Location Address Details
Address
1321 Cottonwood St
City
Woodland
State
California
Zip
95695-5131
Phone Number
530-666-1631
Fax Number
person
Provider Business Mailing Address Details
Address
1321 Cottonwood St
City
Woodland
State
California
Zip
95695-5131
Phone Number
530-666-1631
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
G37180 (California)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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