person
Joshua Smith, PA-C
Medical Physician Assistant in Marion, Illinois
NPI 1356892004

Joshua Smith is a Medical Physician Assistant based in Marion, IL and is specialized in Medical. Joshua Smith practices in Marion, IL and has the professional credentials of PA-C. The NPI Number for Joshua Smith is 1356892004 and holds a License No. 085005979 (Illinois).

The current practice location address for Joshua Smith is 2401 W Main St, Marion, IL and can be reached out via phone at 618-997-5311.

Location: 2401 W Main St, Marion, IL, 62959-1188
person
Provider Profile Details
NPI Number
1356892004
Provider Name
Joshua Smith
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2401 W Main St, Marion, IL, 62959-1188
Phone Number
618-997-5311
Fax Number
Provider Enumeration Date
10/18/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
214881 01 IL MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
2401 W Main St
City
State
Zip
62959-1188
Phone Number
618-997-5311
Fax Number
person
Provider Business Mailing Address Details
Address
2401 W Main St
City
State
Zip
62959-1188
Phone Number
618-997-5311
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085005979 (Illinois)
Definition
Definition to come...
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