Provider Demographics
NPI:1437485505
Name:SMITH PINGEL, PATRICIA (NMD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:SMITH PINGEL
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10505 N 69TH ST
Mailing Address - Street 2:STE 1100A
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-4532
Mailing Address - Country:US
Mailing Address - Phone:602-845-8949
Mailing Address - Fax:603-845-8949
Practice Address - Street 1:10505 N 69TH ST
Practice Address - Street 2:STE 1100A
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85253-4532
Practice Address - Country:US
Practice Address - Phone:602-845-8949
Practice Address - Fax:603-845-8949
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-26
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ09-1137175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath