Individual
MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
62 S CENTER ST, MESA, AZ 85210-1306
(480) 878-6880
(949) 810-9991
Mailing address
62 S CENTER ST, MESA, AZ 85210-1306
(480) 878-6880
(949) 810-9991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6544
AZ
Other
Enumeration date
09/26/2016
Last updated
02/24/2026
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