Individual
DR. CHAD G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
205 15TH AVE SW STE D, PUYALLUP, WA 98371-7873
(253) 845-0564
(253) 770-8482
Mailing address
205 15TH AVE SW STE D, PUYALLUP, WA 98371-7873
(253) 845-0564
(253) 770-8482
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO 60188334
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0275410
—
WA
01
—
PO 60188334
WASHINGTON STATE DEPT OF HEALTH LICENSE
WA
Enumeration date
07/19/2006
Last updated
07/22/2019
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