Individual
IVA A SMOLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2204 S DOBSON RD, SUITE 204, MESA, AZ 85202-6457
(480) 782-6900
(480) 782-6905
Mailing address
2204 S DOBSON RD, SUITE 204, MESA, AZ 85202-6457
(480) 782-6900
(480) 782-6905
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35752
AZ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35752
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139163
—
AZ
Enumeration date
10/17/2005
Last updated
11/26/2014
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