Smith, Leroy Carter

Smith, Leroy Carter is an individual health care provider with primary practice located at 2755 Silver Creek Rd Suite 111, Bullhead City AZ 86442-7904. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Smith, Leroy Carter can be contacted via phone (928) 704-7163.

Contact Information

Primary practice address
2755 Silver Creek Rd Suite 111 Bullhead City AZ 86442-7904
Phone: (928) 704-7163
Fax: (928) 704-7140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 26371 North Carolina
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 26371 North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 41584 Arizona

Profile Details

NPI number 1700830601
LBN Legal business name Smith, Leroy Carter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Feb 21st, 2012 - about 12 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 1700830601 NPPES
North Carolina MEDICAID 8977958
North Carolina MEDICAID 412862

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