Individual
ELLIOT L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
217 E MAIN ST, EVANS CITY, PA 16033-1219
(724) 538-9700
(724) 538-9710
Mailing address
217 E MAIN ST, EVANS CITY, PA 16033-1219
(724) 538-9700
(724) 538-9710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD053373L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001530960 0008
—
PA
01
—
P00232506
RR MED INDIV #
PA
Enumeration date
06/23/2005
Last updated
02/25/2015
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