MEDICARE: MERRY MICHELLE SMITH

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	237700000X	Hearing Instrument Specialist	HADE15848	AZ

General Provider Information

NPI Number	:	1598572497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERRY MICHELLE SMITH

Provider Business Mailing Address
First Line	:	12815 W MARBLE DR
Second Line	:
City	:	SUN CITY WEST
State	:	AZ
Zip	:	85375-4543
Country	:	US
Telephone Number	:	253-905-8360
Fax Number	:

Provider Business Practice Location Address
First Line	:	10001 W BELL RD
Second Line	:
City	:	SUN CITY
State	:	AZ
Zip	:	85351-1282
Country	:	US
Telephone Number	:	623-972-1880
Fax Number	:

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

Provider Enumeration Date	:	12/13/2024
Last Update Date	:	12/13/2024

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Directions to “ MERRY MICHELLE SMITH ” Practice Location

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