Individual
LARRY D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
945 GOETHALS DRIVE, SUITE 200, RICHLAND, WA 99352
(509) 942-3627
(509) 942-2340
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 942-2555
(509) 942-2340
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
3083326-1205
UT
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00044139
WA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
MD00044139
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0272100
LABOR & INDUSTRIES
WA
Enumeration date
03/02/2006
Last updated
04/01/2021
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