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Individual

MATTHEW SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
213 TAYLOR ST APT 2, PITTSBURGH, PA 15224-1843
(814) 442-7761
Mailing address
213 TAYLOR ST APT 2, PITTSBURGH, PA 15224-1843

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO03720
PA
224P00000X
Prosthetist
Primary
CPO03720
PA

Other

Enumeration date
04/25/2017
Last updated
04/25/2017
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