Healthcare Provider Details

I. General information

NPI: 1427987866
Provider Name (Legal Business Name): THRIVE PRECISION HEALTH INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3369 E QUEEN CREEK RD STE 101
GILBERT AZ
85297-8504
US

IV. Provider business mailing address

3369 E QUEEN CREEK RD STE 101
GILBERT AZ
85297-8504
US

V. Phone/Fax

Practice location:
  • Phone: 480-550-8050
  • Fax: 480-520-6321
Mailing address:
  • Phone: 480-550-8050
  • Fax: 480-520-6321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PATRICK SMITH
Title or Position: PRESIDENT
Credential:
Phone: 480-740-1910