Individual
SHEILA D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD00048171
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223737
LABOR & INDUSTRY
WA
01
—
5796SM
REGENCE
WA
05
—
8489932
—
WA
01
—
9564SM
REGENCE
WA
01
—
P00429929
PALMETTO RR MEDICARE
WA
Enumeration date
06/18/2007
Last updated
04/01/2021
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