# PULMONARY AND PRIMARY CARE ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871663443
- **Authorized official:** DR. CARL ASHLEY SMOOT D.O, D.A.B.S.M, (PRESIDENT)
- **Authorized official phone:** (906) 776-5845

## Contact information

- **Practice address:** 1711 S STEPHENSON AVE, SUITE 215, IRON MOUNTAIN, MI 49801-3639
- **Practice address phone:** (906) 779-7050
- **Practice address fax:** (906) 774-3325
- **Mailing address:** 1711 S STEPHENSON AVE, SUITE 215, IRON MOUNTAIN, MI 49801-3639
- **Mailing address phone:** (906) 779-7050
- **Mailing address fax:** (906) 774-3325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | CS006908 | MI | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | CS006908 | MI | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 11/25/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2712724 | — | MI |
| 01 | — | 5220016 | MEDICARE PIN PRIOR 2007 | MI |
| 01 | — | OP39080 | MEDICARE GROUP PIN | MI |
| 01 | — | P39080001 | MEDICARE INDIVIDUAL PIN | MI |
