Sam P Smith in Gilbert - Dermatology

Sam P Smith - NPI 1962420315

Sam P Smith is a Dermatology in Gilbert, Arizona. Sam P Smith practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Sam P Smith is 1962420315. The last update date is 2013-08-16.

Sam P Smith's current location address is 4915 East Baseline Road, Gilbert, Arizona. You can contact this provider via phone number 4806468660 and fax number 4806468665. The mailing address for Sam P Smith is 4915 East Baseline Road, Gilbert, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Sam P Smith
Address 4915 East Baseline Road, Gilbert, Arizona
Phone Number 4806468660
Fax Number 4806468665
Sole Proprietor Y
Credentials D.O.

NPI Number Detail

NPI Number 1962420315
Provider Enumeration Date 2006-07-17
Last Updated Date 2013-08-16

Provider Mailing Address Detail

Address 4915 East Baseline Road
City Gilbert
State Arizona (AZ)
Post Code 852342966
Phone Number 4806468660
Fax Number 4806468665

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 4237
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11458639 AZ CAQH
117012 AZ --

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FAQs about Sam P Smith

What is the unique provider identifier assigned to Sam P Smith?

The Sam P Smith has been issued the NPI (National Provider Identifier) 1962420315 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Sam P Smith's facilities are situated?

The facilities of Sam P Smith are physically located at the following address: 4915 East Baseline Road, Gilbert, AZ, 852342966.

What is the Sam P Smith's area of specialization and corresponding taxonomy classification?

The Sam P Smith's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.

When was the Sam P Smith's 1962420315 issued?

The Sam P Smith's 1962420315 was issued on 2006-07-17.

As of what date were the Sam P Smith's details last updated?

The information pertaining to the Sam P Smith, including its address, specialty, and other details, was most recently updated on 2013-08-16.

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