Individual
PAUL D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CORNER OF N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 589, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD425805
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020516920002
—
PA
Enumeration date
03/15/2007
Last updated
09/04/2015
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