Individual
DOUGLAS E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MADIGAN HEALTHCARE SYSTEM, 9040 JACKSON AVENUE, TACOMA, WA 98431-0001
(253) 968-2366
(253) 968-5900
Mailing address
MADIGAN HEALTHCARE SYSTEM, 9040 JACKSON AVENUE, TACOMA, WA 98431-0001
(253) 968-2366
(253) 968-5900
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
M3522
ID
207T00000X
Neurological Surgery Physician
Primary
ME 109503
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002755500
—
ID
Enumeration date
06/06/2006
Last updated
10/24/2012
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