Search › Arizona › 225100000X
Jason Smith
NPI 1174633713 · on the registry since 2006
Practice
- Address
- 18561 N 59th Ave Ste 117
Glendale, AZ 85308 - Phone
- (623) 322-0654
- Fax
- (623) 322-0664
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona