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Individual

STEPHEN H SMYTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 874-4135
(520) 874-7048
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 874-4135
(520) 874-7048

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
15464
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000S3847
NEW MEXICO MEDICAID
AZ
05
296477
AZ
Enumeration date
10/25/2006
Last updated
01/14/2008
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