Organization
SAM P SMITH DO LLC
Active
Other names
Sam P Smith DO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM P SMITH D.O. (PRESIDENT)
(602) 369-6845
Entity
Organization
Contact information
Practice address
4915 E BASELINE RD, SUITE 102, GILBERT, AZ 85234-2965
(480) 646-8660
(480) 646-8665
Mailing address
4915 E BASELINE RD, SUITE 102, GILBERT, AZ 85234-2965
(480) 646-8660
(480) 646-8665
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4237
AZ
Other
Enumeration date
07/16/2006
Last updated
08/16/2013
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