Individual
DEBRA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5999
(515) 699-5929
Mailing address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5999
(515) 699-5929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1084
IA
Other
Enumeration date
09/30/2005
Last updated
03/13/2013
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