Individual
ERIN NICOLE SMALLMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1900
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-7761
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2019023805
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164249
—
AZ
Enumeration date
06/28/2019
Last updated
10/06/2022
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