Individual
MICHAEL CARL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5736 N 33RD AVE, PHOENIX, AZ 85017
(602) 841-9766
Mailing address
5736 N 33RD AVE, PHOENIX, AZ 85017-1905
(602) 841-9766
(602) 841-9766
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL0281H
AZ
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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