Individual
MS. SAMANTHA PAIGE SMITH
Active
Individual
MS. SAMANTHA PAIGE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
149324
AK
2255A2300X
Athletic Trainer
A0000793
MD
363AS0400X
Surgical Physician Assistant
Primary
155981
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295184703
—
MD
Enumeration date
06/06/2016
Last updated
11/20/2024
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