person
Jody Allison Bolton Smith, MD
Diagnostic Radiology Physician in Sartell, Minnesota
NPI 1306846076

Jody Allison Bolton Smith is a Diagnostic Radiology Physician based in Saint Cloud, MN and is specialized in Diagnostic Radiology. Jody Allison Bolton Smith practices in Sartell, MN and has the professional credentials of MD. The NPI Number for Jody Allison Bolton Smith is 1306846076 and holds a License No. 46527 (Minnesota).

The current practice location address for Jody Allison Bolton Smith is 1990 Connecticut Ave S, Sartell, MN and can be reached out via phone at 320-257-5595 and via fax at 320-257-5596.

Location: 1990 Connecticut Ave S, Sartell, MN, 56302-7366
person
Provider Profile Details
NPI Number
1306846076
Provider Name
Jody Allison Bolton Smith
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1990 Connecticut Ave S, Sartell, MN, 56302-7366
Phone Number
320-257-5595
Fax Number
320-257-5596
Provider Enumeration Date
07/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2141654 01 MN ARAZ/ AMERICA'S PPO
16-03053 01 MN MEDICA
284L1BO 01 MN BLUE CROSS BLUE SHIELD
411772562 01 MN GREATWEST HEALTHCARE
965251040913 01 MN PREFERRED ONE
131470C561 01 MN UCARE OF MINNESOTA
411772562 01 MN TRICARE
492485100 05 MN
HP44741 01 MN HEALTH PARTNERS
institution
Provider Business Practice Location Address Details
Address
1990 Connecticut Ave S
City
State
Zip
56377-2554
Phone Number
320-257-5595
Fax Number
320-257-5596
person
Provider Business Mailing Address Details
Address
1990 Connecticut Ave S
City
State
Zip
56377-2554
Phone Number
320-257-5595
Fax Number
320-257-5596
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
46527 (Minnesota)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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