Individual
MR. RALPH HENRY SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
US HWY 160 & NAVAJO ROUTE 35- RED MESA, TEECNOSPOS, AZ 86514
(928) 656-5000
Mailing address
HC 61 BOX 30, TEEC NOS POS, AZ 86514-9600
(928) 656-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5431
GA
363A00000X
Physician Assistant
Primary
98-PA20
NM
Other
Enumeration date
03/07/2013
Last updated
08/10/2021
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