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Organization
MOUNTAIN FAMILY CARE AND WALK IN PLLC
Active
Organization
MOUNTAIN FAMILY CARE AND WALK IN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN SEAN SMITHSON M.D. (OWNER)
(928) 532-3926
Entity
Organization
Contact information
Practice address
320 E DEUCE OF CLUBS, SHOW LOW, AZ 85901-4808
(928) 532-3926
(928) 367-4916
Mailing address
PO BOX 2680, SHOW LOW, AZ 85902-2680
(928) 532-3926
(928) 367-4916
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45758
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
711987
—
AZ
Enumeration date
08/14/2014
Last updated
08/14/2014
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