Smith, Donald R
Smith, Donald R is an individual health care provider with primary practice located at 1260 S Campbell Ave Building 2, Green Valley AZ 85614-0503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Donald R can be contacted via phone (520) 407-5400.Contact Information
Primary practice address
1260 S Campbell Ave Building 2
Green Valley AZ 85614-0503
Phone: (520) 407-5400
Fax: (520) 407-5990
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18818 | Arizona |
Profile Details
NPI number | 1992787790 |
---|---|
LBN Legal business name | Smith, Donald R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 17th, 2005 |
Last updated | Jan 31st, 2020 - about 5 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 | 1992787790 | NPPES |
Arizona | MEDICAID | 125725 |
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