Individual
PAUL A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS:M4-PA, SEATTLE, WA 98101-2756
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00022089
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR & INDUSTRY
WA
01
—
805170100
IDAHO MEDICAID
WA
05
—
8640708
—
WA
01
—
MD9802
ALASKA MEDICAID
WA
01
—
S617
BLUE SHIELD
WA
01
—
US0899768
AETNA/USHC PCP
WA
Enumeration date
08/21/2006
Last updated
06/17/2008
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