Smith, Stephen Troy

Smith, Stephen Troy is an individual health care provider with primary practice located at 12361 W Bola Dr Ste 100 , Surprise AZ 85378-9021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Smith, Stephen Troy can be contacted via phone (602) 641-9486.

Contact Information

Primary practice address
12361 W Bola Dr Ste 100 Surprise AZ 85378-9021
Phone: (602) 641-9486
Fax: (480) 500-8430
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X M1356 Texas
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 42604 Arizona

Profile Details

NPI number 1063632149
LBN Legal business name Smith, Stephen Troy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2007
Last updated Sep 19th, 2023 - about 3 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 1063632149 NPPES
Arizona MEDICAID 485155

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