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NPI Code Detail

MEDICARE: DEVON SMITH

MEDICARE:   DEVON  SMITH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1831049121
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVON SMITH
Provider Business Mailing Address
First Line : 6405 N 6TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19126-3806
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6405 N 6TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19126-3806
Country : US
Telephone Number : 215-528-4938
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2026
Last Update Date : 01/28/2026

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Directions to “ DEVON SMITH ” Practice Location

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