Charles Smith MD

NPI 1053383950 - Family Medicine - 207Q00000X

NPI Details
NPI 1053383950
Gender Male
Enumeration Date 02/03/2006
Last Updated 10/22/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
2920 N 4TH ST
FLAGSTAFF AZ, 86004-1816, US
Phone (928) 213-6100
Fax (928) 774-4808
Business Location
PO BOX 3630
FLAGSTAFF AZ, 86003-3630, US
Phone (928) 213-6100
Fax (928) 774-6687
Toxanomy
Taxonomy Code 207Q00000X
License State Arizona
License Number 28946
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According to our database, Charles Smith MD NPI is 1053383950, taxonomy code is 207Q00000X and license number is 28946, license state is located at Arizona. Charles Smith MD physically located at 2920 N 4th St, Flagstaff AZ, 86004-1816. NPI Number Charles Smith MD has the Individual type.

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1053383950 NPI number is provided on an as is basis without warranty of any kind. 1053383950 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Smith MD are for informational purposes only.