Individual
STEPHEN L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 124TH AVE NE, SUITE 110, BELLEVUE, WA 98005-1934
(425) 882-2022
Mailing address
PO BOX 34581, SEATTLE, WA 98124-1581
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00015337
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8427601
—
WA
Enumeration date
02/14/2007
Last updated
07/30/2009
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