Individual
DR. JACK STEVEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1815 W MISSOURI AVE STE 102, PHOENIX, AZ 85015-3047
(623) 398-9213
Mailing address
1815 W MISSOURI AVE STE 102, PHOENIX, AZ 85015-3047
(623) 398-9213
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
684
AZ
171100000X
Acupuncturist
—
AZ
Other
Enumeration date
11/02/2006
Last updated
10/29/2015
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