| Ms Tracy R Smith, MS, CCC-A | |
|
Corner Of Route N12 & N7, Fort Defiance, AZ 86504 | |
| (928) 729-8912 | |
| Not Available |
| Full Name | Ms Tracy R Smith |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | Corner Of Route N12 & N7, Fort Defiance, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568694420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | AT000994L (Pennsylvania) | Primary |
| Provider Name | The Fort Defiance Indian Hospital Board, Incorporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tracy R Smith, MS, CCC-A Po Box 649, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8912 | Ms Tracy R Smith, MS, CCC-A Corner Of Route N12 & N7, Fort Defiance, AZ 86504 Ph: (928) 729-8912 |
Ms. Betty Ann Garner, MA Audiologist Medicare: Not Enrolled in Medicare Practice Location: Fort Defiance Phs Hospital, Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8782 | |
Roberta Jean Simpson, M.A. Audiologist Medicare: Not Enrolled in Medicare Practice Location: Fort Defiance Indian Hospital, Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |