Joshua Smith, PA-C
Physician Assistant, Medical in Marion, IL. Individual provider (NPI-1).
NPI number1356892004
StatusActive
Last updated in NPPESDec 27, 2022
Details
- NPI
- 1356892004
- Entity type
- Individual (NPI-1)
- Name
- Joshua Smith
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2016
- Certification date
- Dec 27, 2022
- Last updated
- Dec 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 085005979 | IL | Yes |
Practice location
2401 W Main StMarion, IL 62959-1188
Phone 618-997-5311
Mailing address
2401 W Main StMarion, IL 62959-1188
Phone 618-997-5311
Other practice locations
201 S 14th St
Herrin, IL 62948-3631
Herrin, IL 62948-3631
Phone 618-942-2171 · Fax 618-988-6166
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Other Medical Physician Assistant providers in Marion, IL
- Louis Flagin, PA-CNPI 1558307918
- Mairlyn Louise McDonaldNPI 1144247727
- Momodou Sallah, PA-CNPI 1598876617
- Melissa Ann Smoot, PAC, MPASNPI 1215902549
All 5 Medical Physician Assistant providers in Marion · All 1,484 providers in Marion
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