Individual provider · Type 1 NPI

Jacquelyn Rae Smith, DO

Diagnostic Radiology Physician · Lakewood, CO

NPI number 1356630800 Active

Practice location

1746 Cole Blvd Ste 150
Lakewood, CO 80401

Fax (303) 716-3777

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3194

Other practice locations

  • 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 · (817) 321-0404

Specialties and licenses

TaxonomyCodeLicense
Pediatric Radiology Physician 2085P0229XDR.0056367 (CO)
Diagnostic Radiology Physician 2085R0202XP9572 (TX)
Diagnostic Radiology Physician Primary 2085R0202XDR.0056367 (CO)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

37 other providers at this address

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About NPI 1356630800

Jacquelyn Rae Smith, DO's National Provider Identifier is 1356630800, issued on Apr 6, 2011. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Lakewood, CO. The record was last updated on Dec 29, 2022.