Individual
DR. BRENT IRVIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DHSC, ATC, LAT
Contact information
Practice address
146D RECREATION HALL, THE PENNSYLVANIA STATE UNIVERSITY, UNIVERSITY PARK, PA 16802-6501
(814) 865-8816
(814) 865-7936
Mailing address
146D RECREATION HALL, THE PENNSYLVANIA STATE UNIVERSITY, UNIVERSITY PARK, PA 16802-6501
(814) 865-8816
(814) 865-7936
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003527
PA
Other
Enumeration date
03/02/2007
Last updated
10/17/2014
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