Individual
LYNN E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 S. 20TH AVENUE, SAFFORD, AZ 85546
(928) 428-3122
(928) 428-7917
Mailing address
1300 S. 20TH AVENUE, SAFFORD, AZ 85546
(928) 428-3122
(928) 428-7917
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20883
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111394
—
AZ
Enumeration date
01/06/2006
Last updated
11/17/2022
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