Carolyn Ann Smith P.A.

NPI 1114128956 - Physician Assistant - 363AM0700X

NPI Details
NPI 1114128956
Gender Female
Enumeration Date 05/30/2007
Last Updated 09/09/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
1551 BISHOP ST
220
SAN LUIS OBISPO CA, 93401-4635, US
Phone (805) 541-0668
Fax (805) 541-8213
Business Location
101 E REDLANDS BLVD
212
REDLANDS CA, 92373-4775, US
Phone (909) 335-8649
Fax (909) 335-1994
Toxanomy
Taxonomy Code 363AM0700X
License State California
License Number PA14769
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According to our database, Carolyn Ann Smith P.A. NPI is 1114128956, taxonomy code is 363AM0700X and license number is PA14769, license state is located at California. Carolyn Ann Smith P.A. physically located at 1551 Bishop St, San Luis Obispo CA, 93401-4635. NPI Number Carolyn Ann Smith P.A. has the Individual type.

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1114128956 NPI number is provided on an as is basis without warranty of any kind. 1114128956 is maintained by the National Plan & Provider Enumeration System. The contents of Carolyn Ann Smith P.A. are for informational purposes only.