Individual provider · Type 1 NPI
Roosevelt Smith Jr., PAC, ATR
Medical Physician Assistant · Winona, MN
NPI number
1003836701
Active
Practice location
62 E 3rd St, Suite 3
Winona, MN 55987-3481
Fax (507) 474-4774
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 9155 (MN) |
| Medical Physician Assistant | 363AM0700X | 500023 (WI) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Winona
- Madison F. Straw, PA-CMedical Physician Assistant Winona, MN NPI 1013630342
- Neil H. Tator, PAMedical Physician Assistant Winona, MN NPI 1154439487
- Kelli Ann Polum, PHYSICIAN ASSISTANTMedical Physician Assistant Winona, MN NPI 1184275794
- Kathleen Stoltman, PAMedical Physician Assistant Winona, MN NPI 1295655769
- Katy S. Anthony, PA-CMedical Physician Assistant Winona, MN NPI 1295754463
- Kara Kristine Reller, PA-CMedical Physician Assistant Winona, MN NPI 1396110516
- Denver Todd Brown, PAMedical Physician Assistant Winona, MN NPI 1720374663
- Chloe Elizabeth Kumpf, PA-CMedical Physician Assistant Winona, MN NPI 1780524413
About NPI 1003836701
Roosevelt Smith Jr., PAC, ATR's National Provider Identifier is 1003836701, issued on Jul 19, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Winona, MN. The record was last updated on Jul 8, 2007.