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Individual
HEATHER J SMITH
Active
Individual
HEATHER J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS005751L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011327660002
—
PA
01
—
0082923000
KEYSTONE EAST
PA
01
—
118864300
U.S. DEPT. OF LABOR
PA
01
—
1222543002
CIGNA PROVIDER ID
PA
01
—
137311
HIGHMARK BLUE SHIELD
PA
01
—
19252
UMWA
PA
01
—
192525879
TRICARE
PA
01
—
30080581
KEYSTONE FIRST
PA
01
—
4205346
AETNA PPO
PA
01
—
96496
OPERATOR'S 825 WELFARE
PA
01
—
P00895494
RAILROAD MEDICARE
PA
Enumeration date
01/18/2006
Last updated
08/16/2018
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