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JACOB SMITH, PA-C, ATC
PA-C, ATC
Physician Assistant
NPI: 1548675945IndividualAccepts Medicare
Specialties, Licenses & Credentials
Medical Physician Assistant
Physician Assistant — Medical
Code: 363AM0700X
085008559(IL)
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
085008559(IL)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2021
Contact & Hours
- Address
- 1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704 - Phone
- (309) 663-6461
Quick Facts
- NPI
- 1548675945
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 5
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