Dr Jack Dale Smith, MD | |
1321 Cottonwood St, Suite 302, Woodland, CA 95695-5131 | |
(530) 666-1631 | |
Not Available |
Full Name | Dr Jack Dale Smith |
---|---|
Gender | Male |
Speciality | Urology |
Location | 1321 Cottonwood St, Woodland, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043248818 | NPI | - | NPPES |
00G371800 | Other | CA | BLUE SHIELD |
00G371800 | Medicaid | CA | |
P00745248 | Other | CA | MEDICARE RAILROAD CARRIER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | G37180 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Jack Dale Smith, MD 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: () - | Dr Jack Dale Smith, MD 1321 Cottonwood St, Suite 302, Woodland, CA 95695-5131 Ph: (530) 666-1631 |
Joyce Ann Loeffler, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1321 Cottonwood St, 3rd Floor, Woodland, CA 95695 Phone: 530-668-2600 Fax: 530-661-3034 | |
Dr. David Michael Kollhoff, MD Urology Medicare: Medicare Enrolled Practice Location: 1325 Cottonwood St, Woodland, CA 95695 Phone: 312-420-5060 | |
Dr. Robert M Craven, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1321 Cottonwood St, Suite 302, Woodland, CA 95695 Phone: 530-666-1631 | |
Dr. Allison Sue Glass, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1321 Cottonwood St Fl 3, Woodland, CA 95695 Phone: 530-668-2600 Fax: 530-661-3034 |