Individual
DR. BENJAMIN RUSSELL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-5001
(253) 968-2310
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2310
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
30220
NE
208D00000X
General Practice Physician
30220
NE
Other
Enumeration date
06/08/2016
Last updated
06/02/2025
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