Smith, Dallas Christopher

Smith, Dallas Christopher is an individual health care provider with primary practice located at 13555 W Mcdowell Rd Ste 201, Goodyear AZ 85395-2624. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Smith, Dallas Christopher can be contacted via phone (602) 795-8700.

Contact Information

Primary practice address
13555 W Mcdowell Rd Ste 201 Goodyear AZ 85395-2624
Phone: (602) 795-8700
Fax: (602) 795-8701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 006966 Arizona
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1699065243
LBN Legal business name Smith, Dallas Christopher
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2011
Last updated Jul 18th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699065243 NPPES
Arizona Other Z189709 MEDICARE PTAN

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