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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MARY BETH SMARRA, PA-C
1315 S LA CANADA DR
GREEN VALLEY, AZ85614-1915
 Phone: 520-625-6600
 Fax: 520-625-8467
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARY BETH SMARRA · (Female)

NPI Number 1962472506
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/25/2006
Last updated 04/23/2008 - About 8 years ago
Sole proprietor 1 No
Identifiers
AZ License # 3714
PA License # MA003457L
PA Medicare (Unspecified) 085451
PA Medicare UPIN Q28852
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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