Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | MD428520 | PA |
NPI | 1043251051 |
---|---|
Provider Name | Dr. Joseph L Smith II |
First Address | Exton, PA 19341-2503 |
Second Address | Exton, PA 19341-2503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 05/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1016804500001 | (05) | PA |
I54266 | (02) | PA |