Individual
DR. GARY MARK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 SQUALICUM PKWY, BELLINGHAM, WA 98225-1851
(360) 734-5400
(360) 715-6996
Mailing address
PO BOX 5096, BELLINGHAM, WA 98227-5096
(360) 734-5400
(360) 715-6996
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00020599
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0178213
L&I AND CRIME VICTIMS
WA
05
—
1001791
—
WA
05
—
1497715841
—
WA
01
—
31601
REGENCE
WA
01
—
5391145
AETNA
WA
Enumeration date
03/27/2006
Last updated
11/19/2010
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