Individual
SEAN WOODSON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2971 W ELLIOT RD, STE 3, CHANDLER, AZ 85224
(480) 733-5483
(480) 659-8366
Mailing address
2971 W ELLIOT RD, STE 3, CHANDLER, AZ 85224-1636
(480) 733-5483
(480) 659-8366
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5082
AZ
Other
Enumeration date
01/04/2013
Last updated
03/19/2015
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