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Individual
DR. GAVIN HALL SMITH
Active
Individual
DR. GAVIN HALL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000791
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8431215
—
WA
01
—
CJ4574
RAILROAD MEDICARE
WA
01
—
P00245950
RAILROAD MEDICARE BILLING
WA
Enumeration date
03/28/2006
Last updated
10/20/2011
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