Individual
MR. BENJAMIN MITCHELL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10401 W THUNDERBIRD BLVD, SUN CITY, AZ 85351-3004
(623) 832-5366
(623) 832-7520
Mailing address
20000 N 57TH AVE RM G205, GLENDALE, AZ 85308-6872
(845) 249-8069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9760
AZ
363A00000X
Physician Assistant
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—
Other
Enumeration date
06/22/2023
Last updated
08/23/2023
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