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Individual

BRIAN P SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CCP

Contact information

Practice address
5801 S MCCLINTOCK DR STE 110, TEMPE, AZ 85283-6002
(480) 777-0900
(480) 777-1345
Mailing address
PO BOX 27588, TEMPE, AZ 85285-7588
(480) 777-0900
(480) 777-1345

Taxonomy

Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary

Other

Enumeration date
02/21/2007
Last updated
08/18/2009
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