Organization
SMITHCARE: GENERAL DERMATOLOGY, MOHS SURGERY & AESTHETICS PLLC
Active
Other names
SMITHCARE: DERMATOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA DAWN SMITH MD (MANAGING MEMBER/PHYSICIAN)
(360) 291-5700
Entity
Organization
Contact information
Practice address
21800 MARKET PL NW STE 103, POULSBO, WA 98370-6667
(360) 291-5700
(360) 291-5702
Mailing address
21800 MARKET PL NW STE 103, POULSBO, WA 98370-6667
(360) 291-5700
(360) 291-5702
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
07/29/2021
Last updated
09/08/2021
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