# BECKY J. SMITH DO PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265785927
- **Authorized official:** BECKY SMITH D.O. (DOCTOR/OWNER)
- **Authorized official phone:** (586) 566-9300

## Contact information

- **Practice address:** 15959 HALL RD STE 206, MACOMB, MI 48044-5366
- **Practice address phone:** (586) 566-9300
- **Practice address fax:** (586) 566-5955
- **Mailing address:** 15959 HALL RD STE 206, MACOMB, MI 48044-5366
- **Mailing address phone:** (586) 566-9300
- **Mailing address fax:** (586) 566-5955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 5101010421 | MI | Yes |

## Other

- **Enumeration date:** 10/18/2012
- **Last updated:** 10/18/2012
