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Search › Arizona › 363AS0400X

Timothy Smith, PA

NPI 1487834297 · on the registry since 2007

Practice

Address
15215 S 48th St
Suite 113
Phoenix, AZ 85044
Phone
(480) 961-9299
Fax
(480) 961-1802
Organisation at this address
Coko Llc
Azure Gd1 Llc
Lanie Dental Llc
Mark J. Page Od Pc
Insight Health Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
48

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Also registered as
363A00000X
363AM0700X
Licence states on file
AZ, FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-10-19

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