Provider Demographics
NPI:1033167002
Name:SMITH, ROBERT B (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:B
Last Name:SMITH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:655 N ALVERNON
Mailing Address - Street 2:SUITE 216 ARIZONA COMMUNITY PHYSICIANS PC
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711
Mailing Address - Country:US
Mailing Address - Phone:520-547-4902
Mailing Address - Fax:520-795-0225
Practice Address - Street 1:6565 E CARONDELET DR
Practice Address - Street 2:ASSOCIATES IN FAMILY PRACTICE ARIZONA COMMUNITY PHYSICI
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710
Practice Address - Country:US
Practice Address - Phone:520-547-5960
Practice Address - Fax:520-547-5969
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AZ6068207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E28407Medicare UPIN