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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

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