NPI | 1710904636 |
---|---|
Doing Business As | SAM P SMITH DO |
Entity Type | Organization |
Authorized Contact | SAM P SMITH President 602-369-6845 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 4237) |
Enumeration Date | 2006-07-16 |
Last Update Date | 2013-08-16 |