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Individual

CLINTON KAREL SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
800 W 5TH AVE, SPOKANE, WA 99204-2803
(509) 458-5800
Mailing address
800 W 5TH AVE, SPOKANE, WA 99204-2803
(509) 458-5800
(913) 428-2951

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2015001993
MO
367500000X
Certified Registered Nurse Anesthetist
2015003183
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60864032
WA

Other

Enumeration date
01/28/2015
Last updated
12/12/2024
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