Individual
DR. GARY MARK SMITH
Active
Individual
DR. GARY MARK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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