Most Relevant Information
Provider Data
| NPI Number: | 1003202144 |
| Provider Name: | BRENT SMOOTS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | ML60668496 |
Most Important Dates
| Enumeration Date: | 04/14/2015 |
| Last Updated: | 11/01/2018 |
Provider Practice Location
15525 N 83RD AVE STE 104
PEORIA
AZ
853825820
Practice Location Phone/Fax
| Phone: | 8778095092 |
| Fax: |
Provider Mailing Location
9520 W PALM LN STE 200
PHOENIX
AZ
850374403
Provider Mailing Phone/Fax
| Phone: | 6235833001 |
| Fax: |
Suggested EMR
Internist EMR