NPI 1063651164

Michael Smith

Practitioner Contractor Tucson, AZ

Practice location

Address: 6070 N Sundown Rd, Tucson, AZ 85743-9115
Phone: (520) 721-1887
Mailing address: 994 S Harrison Rd, Tucson, AZ 85748-6608

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 350778 (AZ)

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Registry record

NPI: 1063651164
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Feb 2009
Record last updated: 12 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.