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William Smith, PA-C
NPI 1972990463 · on the registry since 2015
Practice
- Address
- 120 Cristianitos Rd Unit 13305
San Clemente, CA 92673 - Phone
- (406) 694-5713
- Organisation at this address
- Immersive Wellness Centers, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-01-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California