person
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. You can also correspond with Donald Lee Smith through the mailing address at 12349 FRONTAGE RD, YUCCA, AZ - 86438-0426 (mailing address contact number: 928-208-0254).

Location: 12349 Frontage Rd, Yucca, AZ, 86438-0426
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
State
Zip
86438-0426
Phone Number
928-208-0254
Fax Number
928-766-2363
person
Provider Business Mailing Address Details
Address
12349 Frontage Rd
City
State
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
License No.
7275614 (Oregon)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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