Smolens, Iva A

Smolens, Iva A is an individual health care provider with primary practice located at 2204 S Dobson Rd Suite 204, Mesa AZ 85202-6457. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is her primary health care specialty. Smolens, Iva A can be contacted via phone (480) 782-6900.

Contact Information

Primary practice address
2204 S Dobson Rd Suite 204 Mesa AZ 85202-6457
Phone: (480) 782-6900
Fax: (480) 782-6905
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 35752 Arizona
Allopathic & Osteopathic Physicians / Surgery 208600000X 35752 Arizona

Profile Details

NPI number 1992794564
LBN Legal business name Smolens, Iva A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Nov 26th, 2014 - about 11 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 1992794564 NPPES
Arizona MEDICAID 139163

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