Individual
MR. ROBERT THOMAS SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6923 5TH ST E APT 301, FIFE, WA 98424-2918
(253) 517-8840
Mailing address
6923 5TH ST E APT 301, FIFE, WA 98424-2918
(253) 517-8840
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00024536
WA
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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