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NPI Code Detail

MEDICARE: DR. BETH ANN PYLE-SMITH O.D.

MEDICARE:  DR. BETH ANN PYLE-SMITH  O.D.
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
1152W00000XOptometrist873AZ

General Provider Information

NPI Number : 1194728485
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BETH ANN PYLE-SMITH O.D.
Provider Business Mailing Address
First Line : 13065 W MCDOWELL RD
Second Line : STE B105
City : AVONDALE
State : AZ
Zip : 85323-6442
Country : US
Telephone Number : 623-845-1400
Fax Number : 623-845-1401
Provider Business Practice Location Address
First Line : 13065 W MCDOWELL RD
Second Line : STE B105
City : AVONDALE
State : AZ
Zip : 85323-6442
Country : US
Telephone Number : 623-845-1400
Fax Number : 623-845-1401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 10/31/2012

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Directions to “ DR. BETH ANN PYLE-SMITH O.D.” Practice Location

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