SAM P SMITH DO LLC
Dermatology at Baseline Rd, Gilbert, AZ

License number
Arizona 4237
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: DR. SAM P SMITH D.O.
Title: PRESIDENT
Phone: (602) 369-6845
Address
Address
4915 E Baseline Rd SUITE 102, Gilbert, AZ 85234
National Provider ID: 1710904636
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SAM P SMITH DO LLC at bizstanding.com

SAM P. SMITH, D.O. LLC

4915 E Baseline Rd #102, Gilbert, AZ 85234

Registration:
Apr 14, 2005
State ID:
L-1195344-0
Expiration:
Perpetual
Manager:
Sam P Smith Do (Manager), 6344 E Broadway Rd #107, Mesa, AZ 85206 (Physical)
Agent:
Clark Hill Plc,14850 N Scottsdale Rd STE 500, Scottsdale, AZ 85254 (Physical)

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