Individual
DR. BRENDAN DANIEL DERIVAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
1003 KOALA DR, OMAK, WA 98841-9247
(509) 422-5700
(509) 422-7680
Mailing address
PO BOX 1340, OKANOGAN, WA 98840-1340
(509) 422-5700
(509) 422-7680
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT60112932
WA
Other
Enumeration date
10/07/2009
Last updated
07/21/2022
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