NPI 1013030949

Rebecca J. Smith, PAC

Practitioner Physician Assistant O Fallon, MO

Practice location

Address: 9209 Phoenix Village Pkwy, O Fallon, MO 63368-4280
Phone: (636) 561-4630
Fax: (636) 561-4610
Mailing address: 801 York St, Manitowoc, WI 54220-4630

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2006013856 (MO)

Other Physician Assistant providers in Missouri →

Registry record

NPI: 1013030949
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Apr 2007
Record last updated: 14 Mar 2025

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.