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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. LARRY DERRELL SMITH, PA-C

Active

MR. LARRY DERRELL SMITH, PA-C is a Physician Assistant healthcare provider located in COTTONWOOD, Arizona. NPI 1558332650 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · COTTONWOOD, AZ

Registration Details

NPI Number
1558332650
Provider Type
Individual
Gender
Male
NPI Issued
Jan 28, 2006 (20.512544179131 yrs)
Last Updated
Jun 19, 2025
Licenses
PA53072 (CA)
PA53072 (CA)
1838 (AZ)

Practice Information

Address
340 S WILLARD ST STE 101
COTTONWOOD, AZ, 863264126
Browse AZ providers · Browse ZIP 86326
Phone
9286497960
Fax
9286341117
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in COTTONWOOD, AZ

Name Credential NPI
TIMOTHY J FITCH PA-C 1063417756
ROXANN G LAFFERTY PA-C 1053306241
ROBERT NORDMAN PA 1891783338
MR. DANIEL G DUDZIAK RPAC 1528040482
ROBERT J MURPHY PA 1801847926
MR. STEVEN HERRMAN PA 1023196284
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.