Provider Demographics
NPI:1609810860
Name:SMITH, RODNEY H (MD)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:H
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3815 E BELL RD
Mailing Address - Street 2:SUITE 4500
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2122
Mailing Address - Country:US
Mailing Address - Phone:602-992-3162
Mailing Address - Fax:602-992-4393
Practice Address - Street 1:3815 E BELL RD
Practice Address - Street 2:SUITE 4500
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2122
Practice Address - Country:US
Practice Address - Phone:602-992-3162
Practice Address - Fax:602-992-4393
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ17659207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ2022610Medicaid
AZ24618Medicare ID - Type Unspecified
AZF68871Medicare UPIN