Individual
ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19871 W FREEMONT RD, BUCKEYE, AZ 85326-9512
(623) 474-6671
Mailing address
7638 W ORANGEWOOD AVE, GLENDALE, AZ 85303-1517
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6498
AZ
Other
Enumeration date
02/03/2010
Last updated
02/05/2010
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