Individual
DR. PHILIP NATHANIEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 S STEVENS ST, SPOKANE, WA 99204-2654
(509) 363-7788
Mailing address
801 S STEVENS ST, SPOKANE, WA 99204-2654
(509) 363-7788
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD60765809
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992116842
NPI
WA
Enumeration date
05/14/2014
Last updated
07/13/2020
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