Individual
DR. DANIEL THOMAS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7219 N LITCHFIELD RD, LUKE AFB, AZ 85309-1529
(623) 856-7975
Mailing address
7219 N LITCHFIELD RD, LUKE AFB, AZ 85309-1529
(623) 856-7975
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
50799
AZ
207P00000X
Emergency Medicine Physician
50799
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060807
—
AZ
Enumeration date
11/17/2005
Last updated
06/20/2023
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