NPI 1205631710

Christopher W Smith, CPRS

Practitioner Peer Specialist Eagan, MN

Practice location

Address: 1440 Duckwood Dr, Eagan, MN 55122-1451
Phone: (612) 405-2180

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1205631710
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Feb 2025
Record last updated: 18 Feb 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.