Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | MD60862279 | WA |
NPI | 1023403698 |
---|---|
Provider Name | Siobhan Thomas-Smith |
First Address | Seattle, WA 98105-3901 |
Second Address | Seattle, WA 98105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2015 |
Last Update Date | 29/08/2018 |