Individual
TREVOR JAMES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 N 12TH ST STE 605, PHOENIX, AZ 85006-2850
(602) 255-7821
Mailing address
1656 E BLUEFIELD CIR, PHOENIX, AZ 85022-1345
(602) 380-6210
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
03/29/2024
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