Individual
BRIAN ALAN SMOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH, FAAFP
Contact information
Practice address
450 S KITSAP BLVD STE 210, PORT ORCHARD, WA 98366-3738
(360) 874-5900
(360) 874-5959
Mailing address
450 S KITSAP BLVD STE 210, PORT ORCHARD, WA 98366-3738
(360) 874-5900
(360) 874-5959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
40476-020
WI
207Q00000X
Family Medicine Physician
Primary
MD61112177
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2175430
—
WA
Enumeration date
01/27/2006
Last updated
08/03/2021
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