Individual
DR. ANDREA DAWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21800 MARKET PL NW STE 103, POULSBO, WA 98370-6667
(360) 291-5700
(360) 637-0863
Mailing address
21800 MARKET PL NW STE 103, POULSBO, WA 98370-6667
(360) 291-5700
(360) 291-5702
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD60650348
WA
207ND0101X
MOHS-Micrographic Surgery Physician
MD60650348
WA
207NS0135X
Procedural Dermatology Physician
MD60650348
WA
Other
Enumeration date
02/12/2008
Last updated
06/24/2022
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