Individual
JULIE SMITH CLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1155 MILL STREET, RENO, NV 89502-1474
(410) 790-7714
Mailing address
2043 N 38TH PL, PHOENIX, AZ 85008-3055
(410) 790-7714
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
20621AP-0
NV
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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