Tanner Smith, PA

NPI 1477288801 · on the registry since 2022

Practice

Address: 2620 N 140th Ave Ste 103
Goodyear, AZ 85395
Phone: (623) 219-4777
Fax: (623) 219-4778
Organisation at this address: Desert Sage Health Pllc
Clear Sky Dermatology Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-12-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona