Individual
DR. MATTHEW C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1550 N 115TH ST, SEATTLE, WA 98133-8401
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD61062302
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942542212
—
WA
Enumeration date
03/25/2013
Last updated
08/13/2020
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