Individual
JACOB BRYAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
44 CIRCLE ST, FRANKLIN, PA 16323-2509
(814) 437-2191
(814) 437-2264
Mailing address
44 CIRCLE ST, FRANKLIN, PA 16323-2509
(814) 437-2191
(814) 437-2264
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2806
WV
207X00000X
Orthopaedic Surgery Physician
34.009352
OH
207X00000X
Orthopaedic Surgery Physician
Primary
OS019134
PA
207XS0117X
Orthopaedic Surgery of the Spine Physician
34009352
OH
207XS0117X
Orthopaedic Surgery of the Spine Physician
OS11241
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
WV
Enumeration date
09/08/2007
Last updated
07/26/2021
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