Individual
MS. JUDITH LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22818 OLD US 20, COMMUNITY OCCUPATIONAL MEDICINE, ELKHART, IN 46516
(574) 389-1231
(574) 389-1232
Mailing address
1454 MAPLE LN, NAPPANEE, IN 46550-2811
(574) 773-7898
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000535A
IN
Other
Enumeration date
10/06/2006
Last updated
09/18/2008
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