Individual
MAXWELL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(904) 953-2000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
44579
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
46185
CO
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
44579
AZ
Other
Enumeration date
01/30/2007
Last updated
10/06/2020
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