Stephen Anthony Smith MPAS, PA-C

NPI 1457598880 - Physician Assistant - 363A00000X

NPI Details
NPI 1457598880
Gender Male
Enumeration Date 01/07/2009
Last Updated 11/07/2011
Entity Type Individual
Active Over 7 years ago
Practice Location
101 BODIN CIR
TRAVIS AFB CA, 94535-1800, US
Phone (707) 423-3552
Fax
Business Location
101 BODIN CIR
TRAVIS AFB CA, 94535-1800, US
Phone (707) 423-3552
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Utah
License Number NCCPA - 1100953
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According to our database, Stephen Anthony Smith MPAS, PA-C NPI is 1457598880, taxonomy code is 363A00000X and license number is NCCPA - 1100953, license state is located at Utah. Stephen Anthony Smith MPAS, PA-C physically located at 101 Bodin Cir, Travis Afb CA, 94535-1800. NPI Number Stephen Anthony Smith MPAS, PA-C has the Individual type.

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1457598880 NPI number is provided on an as is basis without warranty of any kind. 1457598880 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Anthony Smith MPAS, PA-C are for informational purposes only.