Jacob Payne Smith, CRNA

NPI #1275801870 in Flagstaff, Arizona

Provider Information

NPI Number
1275801870
Entity Type
Individual
Name
Jacob Payne Smith, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse
Credential
CRNA
Enumeration Date
Dec 9, 2011
Last Updated
Sep 24, 2018

Practice Location

Address
77 W FOREST AVE STE 117
State
Arizona
ZIP Code
86001-1482
Phone
(928) 773-2505

Specialties & Taxonomy Codes

Specialty
Registered Nurse
Nurse Anesthetist, Certified Registered

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