Individual
GREGG T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-2704
(520) 792-1450
Mailing address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1123553
TX
363LF0000X
Family Nurse Practitioner
13271347-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
227287
AZ
363LF0000X
Family Nurse Practitioner
APN.0005718-NP
CO
Other
Enumeration date
06/30/2008
Last updated
06/21/2023
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