Evan Gregory Smith
Evan Gregory Smith is a Physician Assistant in Lackland A F B, Texas. Graduated from University of Nebraska College of Medicine in 2011, 15 years ago. Practices with Age Management of West Michigan PC, a 23-clinician group and accepts Medicare assignment.
- Years since qualifying
- 15
- Trained at
- University of Nebraska College of Medicine
- In the registry since
- 2011
Practice location Address checks out
2200 Bergquist DrLackland A F B, TX 78236-9907
Phone: (210) 292-1990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|
Record details
| NPI number | 1891090577 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 11, 2011 |
| Last updated in NPPES | April 8, 2013 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduated | 2011 (15 years in practice) |
| Group practice | Age Management Of West Michigan Pc — 23 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |