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1003202144
BRENT SMOOTS
PEORIA, AZ
NPI
1003202144
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA ML60668496)
Enumeration Date
2015-04-14
Last Update Date
2018-11-01
Business Address
BRENT SMOOTS MD
15525 N 83RD AVE STE 104
PEORIA, AZ 85382-5820
Phone number: 877-809-5092
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Mailing Address
BRENT SMOOTS MD
9520 W PALM LN STE 200
PHOENIX, AZ 85037-4403
Phone number: 623-583-3001
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