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Organization

PULMONARY AND PRIMARY CARE ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARL ASHLEY SMOOT D.O, D.A.B.S.M, (PRESIDENT)
(906) 776-5845
Entity
Organization

Contact information

Practice address
1711 S STEPHENSON AVE, SUITE 215, IRON MOUNTAIN, MI 49801-3639
(906) 779-7050
(906) 774-3325
Mailing address
1711 S STEPHENSON AVE, SUITE 215, IRON MOUNTAIN, MI 49801-3639
(906) 779-7050
(906) 774-3325

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
CS006908
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
CS006908
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2712724
MI
01
5220016
MEDICARE PIN PRIOR 2007
MI
01
OP39080
MEDICARE GROUP PIN
MI
01
P39080001
MEDICARE INDIVIDUAL PIN
MI
Enumeration date
11/09/2006
Last updated
11/25/2009
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