Individual
MRS. MEGHAN LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
264922-3102
UT
363AS0400X
Surgical Physician Assistant
Primary
264922-3102
UT
Other
Enumeration date
10/03/2006
Last updated
10/04/2007
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