Smith, Jeffery Deward
Smith, Jeffery Deward is an individual health care provider with primary practice located at 4540 E Baseline Rd Suite#114, Mesa AZ 85206-4613. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Smith, Jeffery Deward can be contacted via phone (480) 633-0294.Contact Information
Primary practice address
4540 E Baseline Rd Suite#114
Mesa AZ 85206-4613
Phone: (480) 633-0294
Fax: (480) 633-0604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2409 | Arizona |
Profile Details
| NPI number | 1083691109 |
|---|---|
| LBN Legal business name | Smith, Jeffery Deward |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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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