Individual
MR. RONALD A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1162 WILLAMETTE ST, EUGENE, OR 97401-3568
(541) 687-6021
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00985
OR
Other
Enumeration date
07/17/2006
Last updated
09/15/2008
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