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MR. Roger Smith, PAC

NPI #1841305463 in Herrin, Illinois

Provider Information

NPI Number
1841305463
Entity Type
Individual
Name
MR. Roger Smith, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PAC
Enumeration Date
Aug 21, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
510 LINCOLN DRIVE
Address 2
SOUTHERN ORTHOPEDIC ASSOCIATES SC
City
Herrin
State
Illinois
ZIP Code
62948
Phone
(618) 997-6800

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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