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Individual

PATRICIA ANNE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
340 S WILLARD ST, COTTONWOOD, AZ 86326-4126
(928) 639-6025
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200500833
NC
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
53143
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5901606
NC
Enumeration date
03/25/2006
Last updated
09/11/2020
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