Individual
GRANT LEO SMYTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9000
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS024575
PA
207P00000X
Emergency Medicine Physician
OT021860
PA
207Q00000X
Family Medicine Physician
OT021860
PA
Other
Enumeration date
06/27/2022
Last updated
04/09/2025
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