Individual provider · Type 1 NPI

Ethan Smith, PA-C

Medical Physician Assistant · Lebanon, PA

NPI number 1689400772 Active

Practice location

252 S 4th St
Lebanon, PA 17042-6111

Call (717) 270-7500 Map

Mailing address

774 Knoll Dr
Mount Joy, PA 17552-9411

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1689400772

Ethan Smith, PA-C's National Provider Identifier is 1689400772, issued on Sep 13, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lebanon, PA. The record was last updated on Sep 13, 2024.