Individual
MELISSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 HILLCREST AVE, GROVE CITY, PA 16127-1708
(724) 458-4950
Mailing address
420 HILLCREST AVE, GROVE CITY, PA 16127-1708
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055462
PA
Other
Enumeration date
11/08/2011
Last updated
03/25/2021
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