Organization
SMITH CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY R SMITH D.C. (OWNER/SOLE PROPRIETOR)
(520) 459-5199
Entity
Organization
Contact information
Practice address
1700 S HIGHWAY 92 STE E1, SIERRA VISTA, AZ 85635-5858
(520) 459-5199
(520) 459-1303
Mailing address
1700 S HIGHWAY 92, SUITE E1, SIERRA VISTA, AZ 85635-5856
(520) 459-5199
(520) 459-1303
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4487
AZ
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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