Tyson Scott Smith, PA-C Valid NPI
Individual provider · Physician Assistant · Pasadena, CA
- NPI
- 1750016879
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 61389 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2022-07-21
- Last updated
- 2023-01-23
Practice location
325 Cordova St Apt 324
Pasadena, CA 91101-4692
(801) 473-6501