MICHAEL BENJAMIN SMITH

FAIRCHILD AFB, WA
NPI1124074943
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA10004669)
Enumeration Date2006-05-25
Last Update Date2007-07-08
Business Address
-- MICHAEL BENJAMIN SMITH PA-C
2505 S DENVER ST
FAIRCHILD AFB, WA 99011-8650
Phone number: 590-247-5414
Mailing Address
-- MICHAEL BENJAMIN SMITH PA-C
10012 S STANGLAND RD
MEDICAL LAKE, WA 99022-9409
Phone number: 509-299-6678
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