MR. Joe Smith JR., PA C

NPI #1154394773 in Fort Bragg, North Carolina

Provider Information

NPI Number: 1154394773
Entity Type: Individual
Name: MR. Joe Smith JR., PA C
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: PA C
Enumeration Date: Feb 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2817 REILLY ROAD MCXC COD CREDENTIALS
Address 2: WOMACK ARMY MEDICAL CENTER
City: Fort Bragg
State: North Carolina
ZIP Code: 28310
Phone: (910) 907-8922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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