Individual
PHILIP G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 GOETHALS DRIVE 2ND FLOOR, KADLEC CLINIC GENERAL & COLORECTAL SURGERY, RICHLAND, WA 99352-3304
(509) 942-3185
(509) 946-1850
Mailing address
3900 S ZINTEL WAY, KENNEWICK, WA 99338
(509) 942-3627
(509) 942-2268
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD60119652
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G848590
—
CA
01
—
258395
LABOR & INDUSTRIES
WA
05
—
8563785
—
WA
Enumeration date
09/22/2006
Last updated
04/01/2021
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