| Doctor Name: | TAMARA SMITH |
| NPI Number: | 1023280401 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | MA052571 |
| Business Practice Address: | 810 Valley View Blvd Altoona, PA - 166026342 |
| Business Phone Number: | 8149465469 |
| Business Fax Number: | |
| Mailing Address: | 810 Valley View Blvd, ALTOONA |
| State: | PA |
| Postal Code: | 166026342 |
| Phone Number: | 8149465469 |
| Fax Number: | |
| NPI Enumeration Date: | 03/26/2008 |
| NPI Last Update Date: | 04/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/03/2015 |
| NPI Reactivation Date: | 03/31/2015 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA052571 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |