Susie Smith PA-C

NPI 1720006349 - Physician Assistant - 363A00000X

NPI Details
NPI 1720006349
Gender Female
Enumeration Date 07/18/2006
Last Updated 09/23/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
9097 W POST RD
SUITE 100
LAS VEGAS NV, 89148-2411, US
Phone (702) 430-5333
Fax (702) 430-5335
Business Location
9097 W POST RD
SUITE 100
LAS VEGAS NV, 89148-2411, US
Phone (702) 430-5333
Fax (702) 430-5335
Toxanomy
Taxonomy Code 363A00000X
License State Nevada
License Number 803
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According to our database, Susie Smith PA-C NPI is 1720006349, taxonomy code is 363A00000X and license number is 803, license state is located at Nevada. Susie Smith PA-C physically located at 9097 W Post Rd, Las Vegas NV, 89148-2411. NPI Number Susie Smith PA-C has the Individual type.

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1720006349 NPI number is provided on an as is basis without warranty of any kind. 1720006349 is maintained by the National Plan & Provider Enumeration System. The contents of Susie Smith PA-C are for informational purposes only.