MR. DONALD LEE SMITH NPI 1992830111

NPI Information

NPI: 1992830111
Provider Name: MR. DONALD LEE SMITH
Classification: Driver - 172A00000X
Entity Type: Individual
Address:
12349 FRONTAGE RD
P.O.B.426
YUCCA, AZ
ZIP 86438
Phone: (928) 208-0254
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MR. Donald Lee Smith is a driver in Yucca, AZ. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. MR. Donald Lee Smith NPI is 1992830111. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12349 FRONTAGE RD
P.O.B.426
YUCCA, AZ
ZIP 86438-426
Phone: (928) 208-0254
Fax: (928) 766-2363

The enumeration date for this NPI number is 2/21/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	172A00000X	Driver		7275614	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	164739	OTHER	ARIZONA	AHCCCS PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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