Individual
MERLYN DEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
606 N COUNTRY CLUB DR, #1 CLINIC OF PHYSICIANS AND SURGEONS, MESA, AZ 85201-5700
(480) 733-4400
(480) 969-0976
Mailing address
606 N COUNTRY CLUB DR, #1 CLINIC OF PHYSICIANS AND SURGEONS, MESA, AZ 85201-5700
(480) 733-4400
(480) 969-0976
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2010
AZ
208600000X
Surgery Physician
Primary
2010
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278350
—
AZ
Enumeration date
08/11/2006
Last updated
09/11/2025
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