Individual
BRYAN DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 SE BISHOP BLVD STE 101, PULLMAN, WA 99163-5517
(509) 332-3488
Mailing address
825 SE BISHOP BLVD STE 101, PULLMAN, WA 99163-5517
(509) 332-3488
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
A73728
CA
208800000X
Urology Physician
M12316
ID
208800000X
Urology Physician
Primary
MD00049274
WA
208800000X
Urology Physician
MD28964
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0238521
L & I
WA
05
—
8519233
—
WA
01
—
8948199
L & I CRIME VICTIMS
WA
Enumeration date
11/28/2005
Last updated
04/29/2014
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