Individual
CHAD DANIEL SMUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2600 PAPERMILL RD, WYOMISSING, PA 19610-3362
(484) 220-0051
(415) 242-6244
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
60425
CA
363A00000X
Physician Assistant
MA056900
PA
363A00000X
Physician Assistant
Primary
OA003301
PA
Other
Enumeration date
07/26/2012
Last updated
01/09/2023
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