MR. Larry Derrell Smith, PA-C

NPI #1558332650 in Cottonwood, Arizona

Provider Information

NPI Number: 1558332650
Entity Type: Individual
Name: MR. Larry Derrell Smith, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 28, 2006
Last Updated: Jun 19, 2025

Practice Location

Address: 340 S WILLARD ST STE 101
City: Cottonwood
State: Arizona
ZIP Code: 86326-4126
Phone: (928) 649-7960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Surgical — Surgical	363AS0400X

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