Individual
HARRY G SMOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-2020
Mailing address
1264 GRIGGS ST, DUPONT, WA 98327
(253) 222-5584
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
G55642
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
G55642
CA
Other
Enumeration date
03/08/2006
Last updated
04/03/2019
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