Shannon Sullivan Smithson, PA-C
NPI #1154603264 in Seaside, California
Provider Information
- NPI Number
- 1154603264
- Entity Type
- Individual
- Name
- Shannon Sullivan Smithson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 14, 2011
- Last Updated
- Apr 30, 2019
Practice Location
- Address
- 1513 FREMONT BLVD STE E1
- City
- Seaside
- State
- California
- ZIP Code
- 93955-4319
- Phone
- (831) 899-1910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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