| Doctor Name: | MR. JOHN GERARD SMITH |
| NPI Number: | 1427095728 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 0157 |
| Business Practice Address: | 2531 White Mountain Hwy Suite A Sanbornville, NH - 038724429 |
| Business Phone Number: | 6035220186 |
| Business Fax Number: | 6035223457 |
| Mailing Address: | 2531 White Mountain Hwy, Suite A SANBORNVILLE |
| State: | NH |
| Postal Code: | 038724429 |
| Phone Number: | 6035220186 |
| Fax Number: | 6035223457 |
| NPI Enumeration Date: | 06/02/2006 |
| NPI Last Update Date: | 12/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 0157 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |