Individual
DR. ROAUL DIETRICK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1666 E. OLIVE WAY, SEATTLE, WA 98102
(206) 323-1666
(206) 323-6639
Mailing address
9015 13TH ST NE, LAKE STEVENS, WA 98258
(425) 397-6881
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034502
WA
Other
Enumeration date
10/24/2005
Last updated
07/08/2007
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