Individual
DR. ROGER PAUL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9755 N 90TH ST STE A203, SCOTTSDALE, AZ 85258-5079
(480) 451-3500
(480) 451-3500
Mailing address
9755 N 90TH ST STE A203, SCOTTSDALE, AZ 85258-5079
(480) 451-3500
(480) 451-3500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7173
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0940370
BCBSAZ PIN
AZ
Enumeration date
08/23/2007
Last updated
08/23/2007
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