# MOUNTAIN FAMILY CARE AND WALK IN PLLC

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

## Provider details

- **NPI number:** 1972902997
- **Authorized official:** DR. BRYAN SEAN SMITHSON M.D. (OWNER)
- **Authorized official phone:** (928) 532-3926

## Contact information

- **Practice address:** 320 E DEUCE OF CLUBS, SHOW LOW, AZ 85901-4808
- **Practice address phone:** (928) 532-3926
- **Practice address fax:** (928) 367-4916
- **Mailing address:** PO BOX 2680, SHOW LOW, AZ 85902-2680
- **Mailing address phone:** (928) 532-3926
- **Mailing address fax:** (928) 367-4916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 45758 | AZ | Yes |

## Other

- **Enumeration date:** 08/14/2014
- **Last updated:** 08/14/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 711987 | — | AZ |