| Doctor Name: | MANDY K SMITH |
| NPI Number: | 1043517311 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | OA003489 |
| Business Practice Address: | 1516 9th Ave Altoona, PA - 166022417 |
| Business Phone Number: | 8148894244 |
| Business Fax Number: | 8148894124 |
| Mailing Address: | 1516 9th Ave, ALTOONA |
| State: | PA |
| Postal Code: | 166022417 |
| Phone Number: | 8148894244 |
| Fax Number: | 8148894124 |
| NPI Enumeration Date: | 02/22/2011 |
| NPI Last Update Date: | 02/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 01/13/2015 |
| NPI Reactivation Date: | 02/10/2015 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | OA003489 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |