NPI 1659809028

Stephen Jerome Smith, EMTB

Practitioner Basic Emergency Medical Technician Phoenix, AZ

Practice location

Address: 1826 W McDowell Rd, Phoenix, AZ 85007-1612
Phone: (228) 273-7752
Mailing address: 6131 N 27th Ave APT 2011, Phoenix, AZ 85017-1756

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 67133531 (AZ)

Other Emergency Medical Technician, Basic providers in Arizona →

Registry record

NPI: 1659809028
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 May 2017
Record last updated: 30 May 2017

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.