Individual provider · Type 1 NPI

Tracy Marie Smith, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1609109024 Active

Practice location

4190 City Ave, Suite 528
Philadelphia, PA 19131-1626

Call (866) 453-8800 Map

Fax (844) 734-7689

Mailing address

260 Calle Campesino
San Clemente, CA 92672-4553

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA054091 (PA)
Medical Physician Assistant 363AM0700XPA21436 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1609109024

Tracy Marie Smith, PA-C's National Provider Identifier is 1609109024, issued on Sep 16, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 14, 2015.