Individual provider · Type 1 NPI
Evan Gregory Smith
Medical Physician Assistant · Lackland A F B, TX
NPI number
1891090577
Active
Practice location
2200 Bergquist Dr
Lackland A F B, TX 78236-9907
Mailing address
1934 Winding Vw
San Antonio, TX 78260-7206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1891090577
Evan Gregory Smith's National Provider Identifier is 1891090577, issued on Jan 11, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lackland A F B, TX. The record was last updated on Apr 8, 2013.