Individual
DR. DAVID SMIRNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 752-1789
(406) 751-5776
Mailing address
2610 TRUMAN CREEK RD, KILA, MT 59920
(406) 756-6982
(406) 751-5776
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
9847
MT
207ZC0006X
Clinical Pathology Physician
MED-PHYS-LIC-9847
MT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MED-PHYS-LIC-9847
MT
Other
Enumeration date
07/27/2006
Last updated
02/19/2024
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