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Individual

WILLIAM SMITH JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6320 N 52ND PL, PARADISE VALLEY, AZ 85253-4154
(602) 840-5467
Mailing address
6320 N 52ND PL, PARADISE VALLEY, AZ 85253-4154
(602) 840-5467

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
12089
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12089
STATE LICENSE
AZ
Enumeration date
12/20/2006
Last updated
07/08/2007
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