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NPI Code Detail

MEDICARE: MR. DAVID CAMPBELL SMITH NP

MEDICARE: MR. DAVID CAMPBELL SMITH NP
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
1363LA2200XAdult Health Nurse PractitionerAP2082AZ

General Provider Information

NPI Number : 1063419067
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID CAMPBELL SMITH NP
Provider Business Mailing Address
First Line : 9627 E ADOBE DR
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85255-4400
Country : US
Telephone Number : 480-538-7068
Fax Number :
Provider Business Practice Location Address
First Line : 9003 E SHEA BLVD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85260-6709
Country : US
Telephone Number : 480-323-3548
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 07/08/2007

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