Individual
BRENT SMOOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15525 N 83RD AVE STE 104, PEORIA, AZ 85382-5820
(877) 809-5092
Mailing address
9520 W PALM LN STE 200, PHOENIX, AZ 85037-4403
(623) 583-3001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ML60668496
WA
Other
Enumeration date
04/14/2015
Last updated
11/01/2018
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