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NPI Code Detail

MEDICARE: DR. TRENT H. SMITH M.D.

MEDICARE:  DR. TRENT H. SMITH  M.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
1207RR0500XRheumatology Physician44833MN
2207RR0500XRheumatology Physician36091AZ

Other Identifiers

General Provider Information

NPI Number : 1336110576
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRENT H. SMITH M.D.
Provider Business Mailing Address
First Line : 4400 N 32ND ST
Second Line : SUITE 140
City : PHOENIX
State : AZ
Zip : 85018-3953
Country : US
Telephone Number : 602-254-4424
Fax Number : 602-254-6036
Provider Business Practice Location Address
First Line : 4400 N 32ND ST
Second Line : SUITE 140
City : PHOENIX
State : AZ
Zip : 85018-3953
Country : US
Telephone Number : 602-254-4424
Fax Number : 602-254-6036
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2006
Last Update Date : 05/04/2011

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Directions to “ DR. TRENT H. SMITH M.D.” Practice Location

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