Individual
MRS. PEGGY SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5861A KAMIAKIN TRL, FAIRCHILD AFB, WA 99011-2216
(509) 247-4564
Mailing address
5861A KAMIAKIN TRL, FAIRCHILD AIR FORCE BASE, WA 99011-2216
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP30006542
WA
Other
Enumeration date
10/07/2005
Last updated
07/08/2007
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