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NPI Code Detail

MEDICARE: DR. CHRIS WILLIAM SMITH D.C.

MEDICARE: DR. CHRIS WILLIAM SMITH D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor7502AZ

General Provider Information

NPI Number : 1003248154
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRIS WILLIAM SMITH D.C.
Provider Business Mailing Address
First Line : 46425 N 43RD AVE
Second Line :
City : NEW RIVER
State : AZ
Zip : 85087-7019
Country : US
Telephone Number : 480-215-7699
Fax Number :
Provider Business Practice Location Address
First Line : 2655 W CAREFREE HWY
Second Line :
City : PHOENIX
State : AZ
Zip : 85085-8862
Country : US
Telephone Number : 480-221-0621
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2013
Last Update Date : 07/31/2013

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