Individual
MICHAEL B SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 S 320TH ST, SUITE B, FEDERAL WAY, WA 98003-4691
(253) 838-1520
(253) 838-4933
Mailing address
700 S 320TH ST, SUITE B, FEDERAL WAY, WA 98003-4691
(253) 838-1520
(253) 838-4933
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00021374
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0650736
AETNA MANAGED CARE
WA
05
—
1048727
—
WA
01
—
4078987
AETNA PPO
WA
01
—
7117773
GROUP WA PROVIDER NO
WA
01
—
SM6887
REGENCE
WA
Enumeration date
07/20/2006
Last updated
12/30/2008
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