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NPI Lookup from the NPI Registry — National Provider Identifier Database

DARYL E SMITH, PA-C – NPI #1477535698
Surgical


Contact Information

DARYL E SMITH, PA-C
4504 WAYNESBORO RD NW
ALBUQUERQUE, NM87120-3823
 Phone: 505-897-8642
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty
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NPI Profile & details for DARYL E SMITH · (Male)

NPI Number 1477535698
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/15/2005
Last updated 01/04/2013 - About 2 years ago
Sole proprietor 1 No
Identifiers
NM License # 92 PA-20
NM Medicaid 98092
NM Medicare (Unspecified) 241412414
Medicare UPIN S69923
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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