Tristan Anthony Smyth, DO
Student in an Organized Health Care Education/Training Program in Fayetteville, NC. Individual provider (NPI-1).
NPI number1316634439
StatusActive
Last updated in NPPESApr 19, 2023
Details
- NPI
- 1316634439
- Entity type
- Individual (NPI-1)
- Name
- Tristan Anthony Smyth
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2023
- Certification date
- Apr 19, 2023
- Last updated
- Apr 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1638 Owen DrFayetteville, NC 28304-3424
Phone 910-615-4000
Mailing address
1638 Owen DrFayetteville, NC 28304-3424
Phone 910-615-4000
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All 311 Student in an Organized Health Care Education/Training Program providers in Fayetteville · All 9,765 providers in Fayetteville
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