Jordan Mackenzie Smith, PA

NPI #1598367682 in Monroe, Ohio

Provider Information

NPI Number: 1598367682
Entity Type: Individual
Name: Jordan Mackenzie Smith, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 12, 2020
Last Updated: Dec 15, 2020

Practice Location

Address: 262 N MAIN ST
City: Monroe
State: Ohio
ZIP Code: 45050-1236
Phone: (513) 461-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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