Individual
MS. LESLIE D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 STAFFORD ST, SUITE 360, SPRINGFIELD, MA 01104-3581
(413) 734-8440
(413) 731-6703
Mailing address
300 STAFFORD ST, 360, SPRINGFIELD, MA 01104-3581
(413) 734-8440
(413) 731-6703
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1498
MA
Other
Enumeration date
12/08/2006
Last updated
07/16/2007
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