Individual
DR. JEFFREY L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1202 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-3926
(253) 589-7030
(253) 589-7033
Mailing address
1019 PACIFIC AVE STE 300, ATTN: CREDENTIALING, TACOMA, WA 98402-4488
(253) 722-1540
(253) 597-4556
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00032170
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8175333
—
WA
Enumeration date
08/03/2006
Last updated
08/08/2017
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