Lewis, Douglas Smoot

Lewis, Douglas Smoot is an individual health care provider with primary practice located at 1111 E Mcdowell Rd , Phoenix AZ 85006-2612. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Lewis, Douglas Smoot can be contacted via phone (602) 839-2000.

Contact Information

Primary practice address
1111 E Mcdowell Rd Phoenix AZ 85006-2612
Phone: (602) 839-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X BP10043101 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 56019 Arizona
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 56019 Arizona

Profile Details

NPI number 1205197829
LBN Legal business name Lewis, Douglas Smoot
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2012
Last updated Nov 29th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205197829 NPPES
Arizona MEDICAID 401782

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