Individual
PAUL JEFFERY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1907
(570) 320-7444
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(888) 647-9600
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
MD-5955
HI
2083X0100X
Occupational Medicine Physician
Primary
MD492254
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000034413
HMSA BILLING NUMBER
HI
05
—
030964-03
—
HI
Enumeration date
02/26/2007
Last updated
11/12/2025
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