Smith, Dallas Christopher
Smith, Dallas Christopher is an individual health care provider with primary practice located at 13555 W Mcdowell Rd Ste 201, Goodyear AZ 85395-2624. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Smith, Dallas Christopher can be contacted via phone (602) 795-8700.Contact Information
Primary practice address
13555 W Mcdowell Rd Ste 201
Goodyear AZ 85395-2624
Phone: (602) 795-8700
Fax: (602) 795-8701
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 006966 | Arizona |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1699065243 |
---|---|
LBN Legal business name | Smith, Dallas Christopher |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 17th, 2011 |
Last updated | Jul 18th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699065243 | NPPES |
Arizona | Other | Z189709 | MEDICARE PTAN |
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