Individual
CHRISTOPHER C. SMITH
Active
Individual
CHRISTOPHER C. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
169
MT
363AM0700X
Medical Physician Assistant
Primary
MED-PAC-LIC-169
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000095223
BCBS PIN
MT
01
—
119319800
MDCD PIN
WY
01
—
4302064
MDCD PIN
MT
Enumeration date
11/04/2006
Last updated
12/14/2021
Update your record
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