Individual
DR. RAY F SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2901 174TH ST NE, MARYSVILLE, WA 98271-4743
(360) 454-1924
(360) 454-1991
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(360) 454-1924
(360) 454-1991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F2022
TX
207Q00000X
Family Medicine Physician
Primary
MD60648525
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125260307
—
TX
05
—
2063129
—
WA
05
—
73705829
—
NM
Enumeration date
06/24/2005
Last updated
03/13/2017
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