Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | MD60946705 | WA |
NPI | 1043653942 |
---|---|
Provider Name | Dr. Daniel Warren Smith |
First Address | Seattle, WA 98122-4201 |
Second Address | Seattle, WA 98115-2062 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2013 |
Last Update Date | 20/09/2021 |