Individual
MAGINTA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 649-0111
Mailing address
2347 W HIGH ST, JACKSON, MI 49203-2737
(617) 812-2467
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
AZ
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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