Individual provider · Type 1 NPI
Tara Smith
Medical Physician Assistant · Vienna, VA
NPI number
1962861096
Active
Practice location
8233 Old Courthouse Rd Ste 170
Vienna, VA 22182-3833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0110005062 (VA) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Vienna
About NPI 1962861096
Tara Smith's National Provider Identifier is 1962861096, issued on Feb 17, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Vienna, VA. The record was last updated on Feb 17, 2016.