Basic Information
| Provider Information | |||||||||
| NPI: | 1033167002 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SMITH | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 655 N ALVERNON | ||||||||
| Address2: | SUITE 216 ARIZONA COMMUNITY PHYSICIANS PC | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85711 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5205474902 | ||||||||
| FaxNumber: | 5207950225 | ||||||||
| Practice Location | |||||||||
| Address1: | 6565 E CARONDELET DR | ||||||||
| Address2: | ASSOCIATES IN FAMILY PRACTICE ARIZONA COMMUNITY PHYSICI | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85710 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5205475960 | ||||||||
| FaxNumber: | 5205475969 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/04/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 6068 | AZ | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.