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Individual

MICHAEL SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6070 N SUNDOWN RD, TUCSON, AZ 85743-9115
(520) 721-1887
Mailing address
994 S HARRISON RD, TUCSON, AZ 85748-6608
(520) 721-1887

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
350778
AZ

Other

Enumeration date
02/12/2009
Last updated
02/12/2009
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