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1053383950
CHARLES SMITH
FLAGSTAFF, AZ
NPI
1053383950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 28946)
Enumeration Date
2006-02-03
Last Update Date
2016-11-14
Business Address
-- CHARLES SMITH MD
2920 N 4TH ST
FLAGSTAFF, AZ 86004-1816
Phone number: 928-213-6100
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Mailing Address
-- CHARLES SMITH MD
PO BOX 3630
FLAGSTAFF, AZ 86003-3630
Phone number: 928-522-9400
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