CONSTANCE SMYTH THOMAS

PHOENIX, AZ
NPI1861796625
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209003769)
Enumeration Date2011-01-07
Last Update Date2011-01-07
Business Address
-- CONSTANCE SMYTH THOMAS NP
4545 E SHEA BLVD SUITE 175
PHOENIX, AZ 85028-3074
Phone number: 602-464-5251
Mailing Address
-- CONSTANCE SMYTH THOMAS NP
1113 W CHURCH ST
CHAMPAIGN, IL 61821-2743
Phone number: 217-355-4753