Michael Benjamin Smith, PA-C
NPI #1124074943 in Fairchild Afb, Washington
Provider Information
- NPI Number
- 1124074943
- Entity Type
- Individual
- Name
- Michael Benjamin Smith, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- May 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2505 S DENVER ST
- City
- Fairchild Afb
- State
- Washington
- ZIP Code
- 99011-8650
- Phone
- (590) 247-5414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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