Individual
ZACHARY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24005 N 91ST AVE, PEORIA, AZ 85383-1227
(308) 550-0042
Mailing address
24005 N 91ST AVE, PEORIA, AZ 85383-1227
(308) 550-0042
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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