Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROOSEVELT SMITH JR., PAC, ATR
ActiveROOSEVELT SMITH JR., PAC, ATR is a Medical Physician Assistant healthcare provider located in WINONA, Minnesota. NPI 1003836701 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WINONA, MN
Registration Details
- NPI Number
- 1003836701
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2006 (20.043547603984 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
9155 (MN)500023 (WI)
Practice Information
- Address
-
62 E 3RD STSUITE 3WINONA, MN, 559873481Browse MN providers · Browse ZIP 55987
- Phone
- 5074744770
- Fax
- 5074744774
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in WINONA, MN
| Name | Credential | NPI |
|---|---|---|
| MISS CINDY LYNN GILE | PA-C | 1811974801 |
| KATY S ANTHONY | PA-C | 1295754463 |
| NEIL H TATOR | PA | 1154439487 |
| DENVER TODD BROWN | PA | 1720374663 |
| STEPHANIE FRISCH LEWIS | PA | 1841671500 |
| KARA KRISTINE RELLER | PA-C | 1396110516 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.