BRENT TYLER SMITH

WILKES BARRE, PA
NPI1376186064
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: PA  SP002819)
Enumeration Date2019-10-24
Last Update Date2024-06-03
Business Address
BRENT TYLER SMITH NP
150 MUNDY ST
WILKES BARRE, PA 18702-6830
Phone number: 570-260-6500
Mailing Address
BRENT TYLER SMITH NP
150 MUNDY ST
WILKES BARRE, PA 18702-6830
Phone number: 570-260-6500
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