NPI 1164986022

Mandolin Smith, PAC

Practitioner Physician Assistant Branson, MO

Practice location

Address: 525 Branson Landing Blvd, Branson, MO 65616-2052
Phone: (417) 335-7218
Mailing address: 1022 E Chestnut St, Carthage, MO 64836-1417

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1164986022
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jan 2019
Record last updated: 24 Jan 2019

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.