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Individual

DR. PATRICK A SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1951 N WILMOT RD, BUILDING 2, TUCSON, AZ 85712-8000
(520) 795-5845
(520) 795-8620
Mailing address
1951 N WILMOT RD, BUILDING 2, TUCSON, AZ 85712-8000
(520) 795-5845
(520) 795-8620

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
15062
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
298332-02
AHCCCS
AZ
01
2Z2580
HEALTH NET
AZ
01
5819
PACIFICARE
AZ
01
AZ0153500
BCBS
AZ
Enumeration date
06/28/2006
Last updated
07/08/2007
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