Individual
STEPHEN JEROME SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT-B
Contact information
Practice address
1826 W MCDOWELL RD, PHOENIX, AZ 85007-1612
(228) 273-7752
Mailing address
6131 N 27TH AVE APT 2011, PHOENIX, AZ 85017-1756
(228) 273-7752
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
67133531
AZ
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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