ETHAN LAWRENCE SMITH

SPOKANE VALLEY, WA
NPI1750164752
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA1750164752)
Enumeration Date2023-08-15
Last Update Date2025-10-30
Business Address
ETHAN LAWRENCE SMITH
1123 N EVERGREEN RD
SPOKANE VALLEY, WA 99216-1138
Phone number: 509-363-3100
Mailing Address
ETHAN LAWRENCE SMITH
PO BOX 808
VERADALE, WA 99037-0808
Phone number: 509-363-3100
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