DR. JACK DALE SMITH M.D. NPI 1043248818

NPI Information

DR. Jack Dale Smith, M.D. is an urology in Woodland, CA. The provider is 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. DR. Jack Dale Smith, M.D. NPI is 1043248818. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1321 COTTONWOOD ST
SUITE 302
WOODLAND, CA
ZIP 95695-131
Phone: (530) 666-1631

The enumeration date for this NPI number is 6/29/2006 and was last updated on 5/24/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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