Organization
PPHP PACS 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE SMITH II (PRESIDENT)
(865) 693-1000
Entity
Organization
Contact information
Practice address
7255 E BROADWAY RD, MESA, AZ 85208-9201
(480) 981-8844
Mailing address
265 BROOKVIEW CENTRE WAY STE 400, KNOXVILLE, TN 37919-4052
(865) 693-1000
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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