Individual
DR. TRACY TODD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3120 CLEARWATER DR, PRESCOTT, AZ 86305-7131
(928) 771-3704
(928) 771-0434
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
64049
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099496
—
AZ
Enumeration date
03/16/2006
Last updated
05/08/2024
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