Individual provider · Type 1 NPI
Molly Beadle Smith, PA-C
Surgical Physician Assistant · St. Louis Park, MN
NPI number
1073006672
Active
Practice location
5400 Excelsior Blvd Ste 150
St. Louis Park, MN 55416-2913
Fax (952) 993-1160
Mailing address
3100 W Lake St Unit 527
Minneapolis, MN 55416-2098
Other practice locations
- 9555 Upland Ln N, Maple Grove, MN 55369-4485 · (952) 993-1440
- 14050 Fairview Dr Fl 2, Burnsville, MN 55337-5713 · (952) 993-6500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 14341 (MN) |
| Physician Assistant | 363A00000X | 085008251 (IL) |
| Physician Assistant | 363A00000X | 14341 (MN) |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in St. Louis Park
- Lucia F. Pierson, OPASurgical Physician Assistant St. Louis Park, MN NPI 1023168432
- Jeremy Lane Jr., P.A.-C.Surgical Physician Assistant St. Louis Park, MN NPI 1144205220
- Melissa Craft, PA-CSurgical Physician Assistant St. Louis Park, MN NPI 1386184844
- Emily C. Peterson, PA-CSurgical Physician Assistant St. Louis Park, MN NPI 1578979654
- James N. Cavallaro, PA-CSurgical Physician Assistant St. Louis Park, MN NPI 1730166729
- Brady Duane Baartman, PA-CSurgical Physician Assistant St. Louis Park, MN NPI 1780979104
- Gregory Allen, PA-CSurgical Physician Assistant St. Louis Park, MN NPI 1972037059
- Angela Woyno, PA-CSurgical Physician Assistant St. Louis Park, MN NPI 1982680690
About NPI 1073006672
Molly Beadle Smith, PA-C's National Provider Identifier is 1073006672, issued on Jun 8, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in St. Louis Park, MN. The record was last updated on Jun 19, 2024.