Individual
MANDY K SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1516 9TH AVE, ALTOONA, PA 16602-2417
(814) 889-4244
(814) 889-4124
Mailing address
1516 9TH AVE, ALTOONA, PA 16602-2417
(814) 889-4244
(814) 889-4124
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
OA003489
PA
Other
Enumeration date
02/22/2011
Last updated
02/11/2015
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