Individual
DR. TERESA LYNN BUOT-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4545 E SHEA BLVD, SUITE 112, PHOENIX, AZ 85028-3074
(602) 494-7110
(602) 494-1724
Mailing address
4545 E SHEA BLVD, SUITE 112, PHOENIX, AZ 85028-3074
(602) 494-7110
(602) 494-1724
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22053
AZ
Other
Enumeration date
03/27/2007
Last updated
11/02/2020
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