Organization
PHOENIX VISITING PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT SMITH M.D. (OWNER)
(734) 464-7460
Entity
Organization
Contact information
Practice address
37519 ANN ARBOR RD, LIVONIA, MI 48150-4510
(734) 464-7460
Mailing address
37519 ANN ARBOR RD, LIVONIA, MI 48150-4510
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/29/2010
Last updated
05/29/2010
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