Individual
DR. PHILLIP WAYNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
450 S WILLARD ST STE 103, COTTONWOOD, AZ 86326-6744
(928) 634-9573
(928) 634-0135
Mailing address
450 S WILLARD ST STE 103, COTTONWOOD, AZ 86326-6744
(928) 634-9573
(928) 634-0135
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
337695
AZ
363LA2100X
Acute Care Nurse Practitioner
8991411-4405
UT
Other
Enumeration date
09/10/2024
Last updated
04/10/2026
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