Individual
STEPHEN TROY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12361 W BOLA DR STE 100, SURPRISE, AZ 85378-9021
(602) 641-9486
(480) 500-8430
Mailing address
12361 W BOLA DR STE 100, SURPRISE, AZ 85378-9021
(602) 641-9486
(480) 500-8430
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
42604
AZ
2086S0129X
Vascular Surgery Physician
M1356
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
485155
—
AZ
Enumeration date
04/30/2007
Last updated
09/19/2023
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