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Individual

BRAD DAVID SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRT

Contact information

Practice address
1111 S TIAGO DR, GILBERT, AZ 85233-7950
(928) 283-2596
Mailing address
1111 S TIAGO DR, GILBERT, AZ 85233-7950
(928) 283-2596

Taxonomy

Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
02919
AZ

Other

Enumeration date
02/17/2007
Last updated
07/08/2007
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