person
Jeffery Deward Smith, PA
Medical Physician Assistant in Mesa, Arizona
NPI 1083691109

Jeffery Deward Smith is a Medical Physician Assistant based in Gilbert, AZ and is specialized in Medical. Jeffery Deward Smith practices in Mesa, AZ and has the professional credentials of PA. The NPI Number for Jeffery Deward Smith is 1083691109 and holds a License No. 2409 (Arizona).

The current practice location address for Jeffery Deward Smith is 4540 E Baseline Rd, Mesa, AZ and can be reached out via phone at 480-633-0294 and via fax at 480-633-0604. You can also correspond with Jeffery Deward Smith through the mailing address at PO BOX 682, GILBERT, AZ - 85299-0682 (mailing address contact number: 480-633-0294).

Location: 4540 E Baseline Rd, Mesa, AZ, 85299-0682
person
Provider Profile Details
NPI Number
1083691109
Provider Name
Jeffery Deward Smith
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
4540 E Baseline Rd, Mesa, AZ, 85299-0682
Phone Number
480-633-0294
Fax Number
480-633-0604
Provider Enumeration Date
12/29/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4540 E Baseline Rd
City
State
Zip
85206-4613
Phone Number
480-633-0294
Fax Number
480-633-0604
person
Provider Business Mailing Address Details
Address
Po Box 682
City
State
Zip
85299-0682
Phone Number
480-633-0294
Fax Number
480-633-0604
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2409 (Arizona)
Definition
Definition to come...
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