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Mr. Donald Lee Smith
Driver in Yucca, Arizona
NPI 1992830111

Donald Lee Smith is a Driver based in Yucca, AZ. Donald Lee Smith practices in Yucca, AZ. The NPI Number for Donald Lee Smith is 1992830111 and holds a License No. 7275614 (Arizona).

The current practice location address for Donald Lee Smith is 12349 Frontage Rd, Yucca, AZ and can be reached out via phone at 928-208-0254 and via fax at 928-766-2363.

Location: 12349 Frontage Rd, Yucca, AZ, 86438-0426
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992830111
Provider Name
Donald Lee Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
12349 Frontage Rd, Yucca, AZ, 86438-0426
Phone Number
928-208-0254
Fax Number
928-766-2363
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
164739 01 AZ AHCCCS PROVIDER #
institution
Provider Business Practice Location Address Details
Address
12349 Frontage Rd
City
Yucca
State
Arizona
Zip
86438-0426
Phone Number
928-208-0254
Fax Number
928-766-2363
person
Provider Business Mailing Address Details
Address
12349 Frontage Rd
City
Yucca
State
Arizona
Zip
86438-0426
Phone Number
928-208-0254
Fax Number
928-766-2363
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
7275614 (Oregon)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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