Organization
EMERALD CITY INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J SMITH MD (OWNER)
(206) 386-3500
Entity
Organization
Contact information
Practice address
14517 60TH AVE W, EDMONDS, WA 98026-3605
(206) 386-3500
(206) 386-3568
Mailing address
14517 60TH AVE W, EDMONDS, WA 98026-3605
(206) 386-3500
(206) 386-3568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD000116322
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7075053
—
WA
Enumeration date
11/21/2006
Last updated
02/23/2009
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