Individual
PAUL S SMITH
Active
Individual
PAUL S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
185096
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
185098
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA0363
BLUE CROSS OF MASS
MA
Enumeration date
08/30/2006
Last updated
06/14/2013
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