Sara L Smith PA-C

NPI 1497980684 - Physician Assistant - 363A00000X

NPI Details
NPI 1497980684
Gender Female
Enumeration Date 05/18/2009
Last Updated 10/14/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
336 S RIVER AVE
HOLLAND MI, 49423-3326, US
Phone (616) 394-3788
Fax
Business Location
4085 BURTON ST SE
SUITE 200
GRAND RAPIDS MI, 49546-2444, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601005502
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According to our database, Sara L Smith PA-C NPI is 1497980684, taxonomy code is 363A00000X and license number is 5601005502, license state is located at Michigan. Sara L Smith PA-C physically located at 336 S River Ave, Holland MI, 49423-3326. NPI Number Sara L Smith PA-C has the Individual type.

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1497980684 NPI number is provided on an as is basis without warranty of any kind. 1497980684 is maintained by the National Plan & Provider Enumeration System. The contents of Sara L Smith PA-C are for informational purposes only.