MEDICARE: DR. DANIEL DUANE 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
1	111NI0900X	Internist Chiropractor	4469DC	AZ

General Provider Information

NPI Number	:	1013944842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL DUANE SMITH D.C.

Provider Business Mailing Address
First Line	:	13430 N SCOTTSDALE RD STE 200
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-4058
Country	:	US
Telephone Number	:	623-334-4000
Fax Number	:	623-334-4400

Provider Business Practice Location Address
First Line	:	16390 N 59TH AVE
Second Line	:	SUITE 200
City	:	GLENDALE
State	:	AZ
Zip	:	85306
Country	:	US
Telephone Number	:	623-334-4000
Fax Number	:	623-334-4400

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	11/16/2018

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