Individual provider · Type 1 NPI

Austin Matthew Smith, OMS - IV

Student in an Organized Health Care Education/Training Program · Modesto, CA

NPI number 1215710223 Active

Practice location

1441 Florida Ave
Modesto, CA 95350-4404

Mailing address

313 Sabal Park Ct
League City, TX 77573-0745

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215710223

Austin Matthew Smith, OMS - IV's National Provider Identifier is 1215710223, issued on Aug 15, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Modesto, CA. The record was last updated on Aug 15, 2023.