Provider Demographics
NPI:1215965520
Name:SMITH, STEVEN M (PA-C)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:SMITH
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:3901 S ATHERTON ST
Mailing Address - Street 2:STE 2
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-8324
Mailing Address - Country:US
Mailing Address - Phone:814-231-7888
Mailing Address - Fax:814-466-7489
Practice Address - Street 1:1850 E PARK AVE STE 201
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-6706
Practice Address - Country:US
Practice Address - Phone:814-231-7888
Practice Address - Fax:814-466-7489
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMS002675L363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant