Whalio Doctors

NPI 1003157660

Ralph Henry Smith, PA

Practitioner Physician Assistant Teecnospos, AZ

Practice location

Address
US Hwy 160 & Navajo Route 35- Red Mesa, Teecnospos, AZ 86514
Phone
(928) 656-5000
Mailing address
Hc 61 Box 30, Teec Nos Pos, AZ 86514-9600

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 98-PA20 (NM)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5431 (GA)

Registry record

NPI
1003157660
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Mar 2013
Record last updated
10 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.