| Michael Benjamin Smith, PA-C | |
|
2505 S Denver St, Fairchild Afb, WA 99011-8650 | |
| (590) 247-5414 | |
| Not Available |
| Full Name | Michael Benjamin Smith |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2505 S Denver St, Fairchild Afb, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124074943 | NPI | - | NPPES |
| PA10004669 | Other | WA | WA STATE MED LICENSE |
| 1030141 | Other | NCCPA NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10004669 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Benjamin Smith, PA-C 10012 S Stangland Rd, Medical Lake, WA 99022-9409 Ph: (509) 299-6678 | Michael Benjamin Smith, PA-C 2505 S Denver St, Fairchild Afb, WA 99011-8650 Ph: (590) 247-5414 |
Daniel Michael Normandin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 Hospital Loop, Fairchild Afb, WA 99011 Phone: 509-247-5661 | |
Mr. Christopher W Kaplan, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 701 Hospital Loop Rd Fafb, Family Health Center 92nd Medical Group, Fairchild Afb, WA 99011 Phone: 509-247-4440 | |
Portia S Kamps, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 Hospital Loop Ste 350, Fairchild Afb, WA 99011 Phone: 509-247-4377 |