Organization
CLARISA I. SMITH, MD PLLC
Active
Other names
Yavapai Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN A SORENSEN (ADMINISTRATOR)
(602) 431-1152
Entity
Organization
Contact information
Practice address
3001 N MAIN ST, SUITE 1C, PRESCOTT VALLEY, AZ 86314-1216
(928) 458-5470
(928) 458-5979
Mailing address
111 CHESTER AVE, ANNAPOLIS, MD 21403-3311
(602) 431-1152
(602) 431-2149
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35537
AZ
Other
Enumeration date
05/08/2013
Last updated
09/10/2013
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