Individual
GREGG ALAN SMITH
Active
Individual
GREGG ALAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2813
AZ
208M00000X
Hospitalist Physician
2813
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619184652
NPI
—
01
—
318198
AHCCCS
AZ
Enumeration date
10/05/2005
Last updated
10/31/2018
Update your record
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