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Individual
WILLIAM CLARK SMITH
Active
Individual
WILLIAM CLARK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61077208
WA
363AS0400X
Surgical Physician Assistant
—
NULL
Other
Enumeration date
05/31/2020
Last updated
11/11/2021
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