Individual
DR. KOLTER LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BD
Contact information
Practice address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(480) 728-3000
Mailing address
4107 E WILDWOOD DR, PHOENIX, AZ 85048-8850
(928) 242-5716
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
279313
AZ
Other
Enumeration date
08/15/2022
Last updated
06/13/2025
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