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NPI Code Detail

MEDICARE: DR. BRADLEY JAY SMITH NMD

MEDICARE:  DR. BRADLEY JAY SMITH  NMD
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
1175F00000XNaturopath00-589AZ

General Provider Information

NPI Number : 1144344037
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRADLEY JAY SMITH NMD
Provider Business Mailing Address
First Line : 1243 W ORCHID LN
Second Line :
City : CHANDLER
State : AZ
Zip : 85224-8689
Country : US
Telephone Number : 480-786-3558
Fax Number : 480-814-1389
Provider Business Practice Location Address
First Line : 1050 E SOUTHERN AVE
Second Line : SUITE 4
City : TEMPE
State : AZ
Zip : 85282-5403
Country : US
Telephone Number : 480-829-7829
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2007
Last Update Date : 07/08/2007

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Directions to “ DR. BRADLEY JAY SMITH NMD” Practice Location

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