Individual
DR. JENNIFER M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
18275 N 59TH AVE STE F134, GLENDALE, AZ 85308-1281
(602) 789-8600
(602) 789-8601
Mailing address
PO BOX 11543, GLENDALE, AZ 85318-1543
(602) 789-8600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5840
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44787
—
AZ
01
—
AZ0937510
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
07/11/2006
Last updated
07/08/2007
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