NPI 1093413775

Freddie Smith

Practitioner Non-emergency Medical Transport (VAN) Glendale, AZ

Practice location

Address: 8101 W Lamar Rd APT 44, Glendale, AZ 85303-2721
Phone: (602) 425-3188

Registered specialties (4)

Non-emergency Medical Transport (VAN) Primary

Transportation Services Taxonomy 343900000X

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Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X

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Contractor

Other Service Providers Taxonomy 171W00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1093413775
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Feb 2023
Record last updated: 2 Mar 2023

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.