Individual
BROOKE ASHLEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
36283 N GANTZEL RD, SAN TAN VALLEY, AZ 85140-7321
(480) 351-7277
(480) 219-5457
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
(702) 838-1456
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
010034
AZ
Other
Enumeration date
04/25/2021
Last updated
10/30/2024
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