Individual
DR. STIRLING BRUCE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1732 JENSEN AVE, DUPONT, WA 98327-8707
(630) 649-4276
Mailing address
1732 JENSEN AVE, DUPONT, WA 98327-8707
(630) 649-4276
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP 60135713
WA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
10/29/2007
Last updated
08/23/2010
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