Individual
DR. PATRICK HUNTER SMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5005 N PIEDRAS ST, WILLIAM BEAUMONT ARMY MEDICAL CENTER ATTN. CREDENTIALS, EL PASO, TX 79920-5001
(915) 569-2107
(915) 569-1233
Mailing address
5005 N PIEDRAS ST, WILLIAM BEAUMONT ARMY MEDICAL CENTER, ATTN CREDENTIA, EL PASO, TX 79920-5001
(915) 569-2107
(915) 569-1233
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207X00000X
Orthopaedic Surgery Physician
17977
WI
207X00000X
Orthopaedic Surgery Physician
2015021378
MO
207X00000X
Orthopaedic Surgery Physician
Primary
61668
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17977
WI STATE LIC
WI
05
—
PENDING
—
MO
Enumeration date
01/23/2007
Last updated
10/12/2023
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