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Organization

BOYS SMITH VISION CENTER MEDICAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK JOHN BOYS SMITH (ADMINISTRATOR)
(509) 962-3937
Entity
Organization

Contact information

Practice address
109 N PINE ST, ELLENSBURG, WA 98926-3330
(509) 962-3937
Mailing address
109 N PINE ST, ELLENSBURG, WA 98926-3330
(509) 962-3937

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00027188
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1065317
WA
01
P00019178
MEDICARE RAILROAD
WA
Enumeration date
05/12/2008
Last updated
06/30/2009
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