Individual
JEFFERY DEWARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4540 E BASELINE RD, SUITE#114, MESA, AZ 85206-4613
(480) 633-0294
(480) 633-0604
Mailing address
PO BOX 682, GILBERT, AZ 85299-0682
(480) 633-0294
(480) 633-0604
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2409
AZ
Other
Enumeration date
12/29/2005
Last updated
07/13/2026
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