Individual
MR. MARK JOE SMAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., A.T.C.
Contact information
Practice address
19611 7TH AVE NE, SUITE 20, POULSBO, WA 98370-7384
(360) 697-7710
Mailing address
15485 COVE POINT LANE, PO BOX 348, KEYPORT, WA 98345-0348
(360) 981-2257
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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