Individual
MARY CRISTINA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
62 W 7TH AVE STE 110, SPOKANE, WA 99204-2321
(509) 456-0262
(509) 462-5059
Mailing address
62 W 7TH AVE STE 110, SPOKANE, WA 99204-2321
(509) 456-0262
(509) 462-5059
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD60353787
WA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD60353787
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2027727
—
WA
05
—
938178
—
AZ
Enumeration date
11/14/2006
Last updated
03/01/2021
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