Individual
DR. WALTER DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1940 HARRISON AVE, PANAMA CITY, FL 32405-4542
(850) 763-0017
(850) 692-5862
Mailing address
1940 HARRISON AVE, PANAMA CITY, FL 32405-4542
(850) 763-0017
(850) 692-5862
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
18267
NV
2084P0800X
Psychiatry Physician
Primary
ME135366
FL
2084P0800X
Psychiatry Physician
T-2750
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07832520
—
MS
Enumeration date
08/22/2013
Last updated
11/02/2020
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