Individual
VICKI P. SMYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
74 ECLIPSE CTR, BELOIT, WI 53511-3550
(608) 361-0311
(608) 361-0312
Mailing address
819 N GARFIELD AVE, JANESVILLE, WI 53545-1842
(608) 756-8488
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1209-023
WI
Other
Enumeration date
03/26/2007
Last updated
08/18/2015
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