| Brent Smith Crnp | |
|
150 Mundy St Wilkes Barre PA 18702-6830 | |
| (570) 260-6500 | |
| Not Available |
| Full Name | Brent Smith Crnp |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 150 Mundy St, Wilkes Barre, Pennsylvania |
| Authorized Official Name and Position | Brent Smith (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5702606500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Smith Crnp 323 Dana St Wilkes Barre PA 18702-5755 Ph: (570) 260-6500 | Brent Smith Crnp 150 Mundy St Wilkes Barre PA 18702-6830 Ph: (570) 260-6500 |
| NPI Number | 1710720990 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710720990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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