Doctor Name: | GERALD S SMYSER |
NPI Number: | 1063508323 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 4900 |
Business Practice Address: | 1200 S Columbia Rd Grand Forks, ND - 582014036 |
Business Phone Number: | 7017805000 |
Business Fax Number: | |
Mailing Address: | Po Box 6002, GRAND FORKS |
State: | ND |
Postal Code: | 582066002 |
Phone Number: | 7017805000 |
Fax Number: | |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 10/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0204X |
License Number: | 4900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Vascular & Interventional Radiology |
Taxonomy Definition: | A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |