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Mr. Cody Charles Smith, PA
Medical Physician Assistant in Auburn, California
NPI 1548892110

Cody Charles Smith is a Medical Physician Assistant based in Sacramento, CA and is specialized in Medical. Cody Charles Smith practices in Auburn, CA and has the professional credentials of PA. The NPI Number for Cody Charles Smith is 1548892110 and holds a License No. PA57810 (California).

The current practice location address for Cody Charles Smith is 11795 Education St Ste 220, Auburn, CA and can be reached out via phone at 530-886-6850.

Location: 11795 Education St Ste 220, Auburn, CA, 95865-5228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548892110
Provider Name
Cody Charles Smith
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
11795 Education St Ste 220, Auburn, CA, 95865-5228
Phone Number
530-886-6850
Fax Number
Provider Enumeration Date
02/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11795 Education St Ste 220
City
Auburn
State
California
Zip
95602-2469
Phone Number
530-886-6850
Fax Number
person
Provider Business Mailing Address Details
Address
11795 Education St Ste 220
City
Auburn
State
California
Zip
95602-2469
Phone Number
530-886-6850
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA57810 (California)
Definition
Definition to come...
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