Individual
JEFFREY R. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
400 E 5TH AVE, SPOKANE, WA 99202-1334
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10002311
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8329716
—
WA
Enumeration date
01/25/2007
Last updated
07/08/2007
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