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Individual

SCOTT HOWARD SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-3241
(206) 520-5000
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 520-5700

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61009694
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1982185120
WA
Enumeration date
08/26/2018
Last updated
10/14/2019
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