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1477288801
TANNER R SMITH
GOODYEAR, AZ
NPI
1477288801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 9328)
Enumeration Date
2022-07-20
Last Update Date
2022-12-14
Business Address
TANNER R SMITH PA
2620 N 140TH AVE STE 103
GOODYEAR, AZ 85395-2437
Phone number: 623-219-4777
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Mailing Address
TANNER R SMITH PA
2620 N 140TH AVE STE 103
GOODYEAR, AZ 85395-2437
Phone number: 623-219-4777
Copy
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