Individual
MICHAEL JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4722 N 24TH ST STE 100, PHOENIX, AZ 85016-4838
(480) 613-7652
(806) 137-6524
Mailing address
4722 N 24TH ST STE 100, PHOENIX, AZ 85016-4838
(480) 613-7652
(806) 137-6524
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD2005-0137
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28527305
—
NM
Enumeration date
08/29/2006
Last updated
08/30/2023
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