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Individual

DR. MARK A SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2350 FREEDOM WAY, SUITE 200, YORK, PA 17402-8200
(717) 812-5120
(717) 741-3075
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 812-5120
(717) 741-3075

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD042036E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015159270001
PA
01
01983901
CAPITAL BLUE CROSS
PA
01
1000010194
RAILROAD MEDICARE
PA
01
1523749
GATEWAY-WMG
PA
01
30089001
AMERIHEALTH MERCY-WMG
PA
01
416568
UPMC-WMG
PA
01
627382
HIGHMARK BLUE SHIELD
PA
01
973501
CAREFIRST MD BCBS-WMG
MD
Enumeration date
07/08/2005
Last updated
02/28/2014
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