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NPI Code Detail

MEDICARE: DR. MICHAEL JAMES SMITH MD

MEDICARE: DR. MICHAEL JAMES SMITH MD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1063213320
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL JAMES SMITH MD
Provider Business Mailing Address
First Line : 350 W THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4409
Country : US
Telephone Number : 602-406-6262
Fax Number : 602-406-6261
Provider Business Practice Location Address
First Line : 2910 N 3RD AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4434
Country : US
Telephone Number : 844-324-6684
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2025
Last Update Date : 03/18/2026

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Directions to “ DR. MICHAEL JAMES SMITH MD” Practice Location

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