Individual
JACK D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 PELLIS RD STE 2B, GREENSBURG, PA 15601-4700
(724) 834-4448
(724) 834-8563
Mailing address
410 PELLIS RD STE 2B, GREENSBURG, PA 15601-4700
(724) 834-4448
(724) 834-8563
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD015396E
PA
Other
Enumeration date
09/19/2005
Last updated
02/13/2025
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