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Jordan Smith
NPI 1326603093 · on the registry since 2019
Practice
- Address
- 1475 Engineering Dr
Madison, WI 53706 - Phone
- (608) 577-8878
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 2255A2300X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-05-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin