Individual
SHIRLEY S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1715 W NORTHERN AVE STE 108, PHOENIX, AZ 85021
(602) 395-0718
(602) 277-8146
Mailing address
PO BOX 35039, PHOENIX, AZ 85069-5039
(602) 395-0718
(602) 277-8146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20739
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096265
—
AZ
Enumeration date
03/02/2006
Last updated
02/14/2008
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