| NPI | 1972675387 |
|---|---|
| Professional Name | MARK SMITH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX 16959) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ PA2869) |
| 363AM0700X Physician Assistant, Medical (Licence: NE 686) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2024-01-09 |