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1164615837
DALLAS R SMITH
PHOENIX, AZ
NPI
1164615837
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 3666)
Enumeration Date
2007-08-24
Last Update Date
2012-04-02
Business Address
Mr. DALLAS R SMITH P.A.-C.
4212 N 16TH ST BEHAVIORAL HEALTH, BUILDING 5
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
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Mailing Address
Mr. DALLAS R SMITH P.A.-C.
4212 N 16TH ST BEHAVIORAL HEALTH, BUILDING 5
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
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