Individual
DR. DONOVAN SMOLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6510 SOUTHCENTER BLVD STE 60, TUKWILA, WA 98188-2549
(206) 349-5388
Mailing address
6510 SOUTHCENTER BLVD STE 60, TUKWILA, WA 98188-2549
(206) 349-5388
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH61124621
WA
111NN1001X
Nutrition Chiropractor
CH61124621
WA
111NR0200X
Radiology Chiropractor
CH61124621
WA
111NR0400X
Rehabilitation Chiropractor
CH61124621
WA
111NS0005X
Sports Physician Chiropractor
CH61124621
WA
Other
Enumeration date
01/10/2021
Last updated
01/10/2021
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