Mandolin Smith, PA-C

NPI #1164986022 in Branson, Missouri

Provider Information

NPI Number: 1164986022
Entity Type: Individual
Name: Mandolin Smith, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 24, 2019
Last Updated: Jan 24, 2019

Practice Location

Address: 525 BRANSON LANDING BLVD
City: Branson
State: Missouri
ZIP Code: 65616-2052
Phone: (417) 335-7218

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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