Individual
BERNARD SMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
409 SCHOOLHOUSE LN, SHIPPENSBURG, PA 17257-1009
(814) 441-6053
Mailing address
409 SCHOOLHOUSE LN, SHIPPENSBURG, PA 17257-1009
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PA
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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