Jerry D Smilack in Phoenix - Infectious Disease
Jerry D Smilack - NPI 1720061617
Jerry D Smilack is a Infectious Disease in Phoenix, Arizona. Jerry D Smilack practices all healthcare services and medical treatments related to Infectious Disease. The NPI Number for Jerry D Smilack is 1720061617. The last update date is 2007-10-31.
Jerry D Smilack's current location address is 5779 E Mayo Blvd, Phoenix, Arizona. You can contact this provider via phone number 4803018000. The mailing address for Jerry D Smilack is 5779 E Mayo Blvd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry D Smilack |
|---|---|
| Address | 5779 E Mayo Blvd, Phoenix, Arizona |
| Phone Number | 4803018000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1720061617 |
|---|---|
| Provider Enumeration Date | 2005-11-23 |
| Last Updated Date | 2007-10-31 |
Provider Mailing Address Detail
| Address | 5779 E Mayo Blvd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850544502 |
| Phone Number | 4803018000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Infectious Disease |
|---|---|
| Taxonomy | 207Ri0200X |
| Licence No | 16720 |
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Definition: An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers whi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 329690 | AZ | -- | |
| 86080015085259A | AZ | TRIWEST |
Post Comment/ Review Below
What is the unique identifier code issued to Jerry D Smilack by the Centers for Medicare & Medicaid Services (CMS)?
The Jerry D Smilack has been assigned the NPI (National Provider Identifier) 1720061617. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Jerry D Smilack is physically located?
The Jerry D Smilack is physically situated at the following address: 5779 E Mayo Blvd, Phoenix, AZ, 850544502.
What is Jerry D Smilack's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerry D Smilack is Infectious Disease, and the taxonomy classification code that categorizes this area of expertise is 207Ri0200X.
On what date did the Jerry D Smilack receive its 1720061617 assignment from the Centers for Medicare & Medicaid Services?
The Jerry D Smilack was assigned its 1720061617 by the Centers for Medicare & Medicaid Services on 2005-11-23.
As of what date were the details pertaining to Jerry D Smilack last refreshed?
The information related to the Jerry D Smilack, including its address, specialty, and other relevant details, was last updated on 2007-10-31.