Organization
GREGG SMITH D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG A SMITH D.O. (OWNER)
(480) 242-6297
Entity
Organization
Contact information
Practice address
1042 N HIGLEY RD, SUITE 102-602, MESA, AZ 85205-5398
(480) 242-6297
(480) 699-3129
Mailing address
1042 N HIGLEY RD, SUITE 102-602, MESA, AZ 85205-5398
(480) 242-6297
(480) 699-3129
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2813
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
318198
—
AZ
Enumeration date
05/17/2007
Last updated
04/20/2010
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