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Individual

RICHELE LEANN SMART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
9060 E VIA LINDA STE 250, SCOTTSDALE, AZ 85258-5425
(480) 500-2285
(919) 882-9575
Mailing address
2218 N 93RD LN, PHOENIX, AZ 85037-4402
(623) 692-6003

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7391
AZ

Other

Enumeration date
12/17/2018
Last updated
04/07/2019
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