Individual
GREGORY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
207 A SECOND STREET, DARLINGTON, PA 16115
(724) 827-8137
(724) 827-2578
Mailing address
1452 STATE ROUTE 351, ENON VALLEY, PA 16120-2622
(724) 336-5822
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA0004666L
PA
Other
Enumeration date
08/24/2006
Last updated
07/12/2007
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