Individual
JULIA R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 NE GILMAN BLVD, ISSAQUAH, WA 98027-2925
(425) 557-8000
Mailing address
1100 OLIVE WAY # MS /M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00016619
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR AND INDUSTRIES #
WA
05
—
1054006
—
WA
01
—
8042SM
BLUE SHIELD #
WA
01
—
US0899686
AETNA SPECIALIST PIN
WA
Enumeration date
10/10/2006
Last updated
04/08/2008
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