Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DS035995 | PA |
Y | 213EG0000X | General Practice | DS035995 | PA |
NPI | 1003847344 |
---|---|
Provider Name | Christine A Smith |
First Address | Pittsburgh, PA 15214-2229 |
Second Address | Pittsburgh, PA 15227-3255 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1009544060002 | (05) | PA |