Individual provider · Type 1 NPI
Gabriel Gordon Smith, PA-C
Medical Physician Assistant · Mill Valley, CA
NPI number
1376716084
Active
Practice location
750 Redwood Hwy Ste 1204, Ste 1204
Mill Valley, CA 94941-2483
Fax (415) 384-4779
Mailing address
3400 Data Dr, Attn Credentialing/payer Enrollment
Rancho Cordova, CA 95670-7956
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5325 (GA) |
| Medical Physician Assistant Primary | 363AM0700X | 58405 (CA) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Mill Valley
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- Laura Sasso, PA-CMedical Physician Assistant Mill Valley, CA NPI 1386186302
- Alexis Lillian Sherer, PA-CMedical Physician Assistant Mill Valley, CA NPI 1720610322
- Jessica Marian Wirth, PA-CMedical Physician Assistant Mill Valley, CA NPI 1932591245
About NPI 1376716084
Gabriel Gordon Smith, PA-C's National Provider Identifier is 1376716084, issued on Apr 2, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mill Valley, CA. The record was last updated on Oct 19, 2020.