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Stanley Smith MD NPI 1003802968

Classification
Specialist
Type
License No.
34173
License State
AZ
Certified
Location

Additional Identifiers

Medical School
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year
2000
Identifier
Type
State
Identifier: H95681
Type: MEDICARE UPIN (02)
State:
Identifier: 907925
Type: MEDICAID (05)
State: AZ
Identifier: Z108885
Type: MEDICARE PIN (08)
State:
Identifier: Z105491
Type: MEDICARE PIN (08)
State:

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
17310 WRIGHT ST STE 103, OMAHA, NE, 681302405
Business Phone
928-778-1971
Mailing Address
17310 WRIGHT ST STE 103, OMAHA, NE, 681302405
Mailing Phone
833-228-6889
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