Individual
TERRY NEIL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3560 N 292ND DR, BUCKEYE, AZ 85396-7101
(623) 237-2261
Mailing address
3560 N 292ND DR, BUCKEYE, AZ 85396-7101
(623) 237-2261
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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