Individual
MR. DYLAN JOHN MCCLISH-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5040 E SHEA BLVD, SUITE #164, PHOENIX, AZ 85028
(480) 641-1165
Mailing address
4713 E VAN BUREN ST UNIT 2019, PHOENIX, AZ 85008-0003
(520) 250-6603
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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