Individual
ALPHONZO SMALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
101858
VA
363AM0700X
Medical Physician Assistant
Primary
0110-004964
VA
Other
Enumeration date
05/04/2012
Last updated
02/28/2026
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