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Individual

MR. DAVID B SMALLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPA

Contact information

Practice address
117 FOOTE AVE, SUITE 100, JAMESTOWN, NY 14701-6947
(716) 338-9200
(716) 338-9250
Mailing address
117 FOOTE AVE, SUITE 100, JAMESTOWN, NY 14701-6947
(716) 338-9200
(716) 338-9250

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
009394
NY
363A00000X
Physician Assistant
Primary
009394
NY
363AM0700X
Medical Physician Assistant
009394
NY
363LF0000X
Family Nurse Practitioner
009394
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00026702202
UNIVERA
01
000570446003
COMMUNITY BLUE
05
02504727
NY
01
117209FZ
PREFERRED CARE
01
9512418
INDEPENDENT HEALTH
01
P00387380
RAILROAD MEDICARE
NY
01
P019009394
BLUE CHOICE
Enumeration date
03/27/2006
Last updated
05/09/2016
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