Individual provider · Type 1 NPI

Carolyn Ann Smith, P.A.

Medical Physician Assistant · San Luis Obispo, CA

NPI number 1114128956 Active

Practice location

1551 Bishop St, 220
San Luis Obispo, CA 93401-4635

Call (805) 541-0668 Map

Fax (805) 541-8213

Mailing address

101 E Redlands Blvd, 212
Redlands, CA 92373-4775

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA14769 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1114128956

Carolyn Ann Smith, P.A.'s National Provider Identifier is 1114128956, issued on May 30, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Luis Obispo, CA. The record was last updated on Sep 9, 2010.