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1477554756

NPI Code Detail

MEDICARE: DR. EDUARDO SMITH SINGARES M.D.

MEDICARE: DR. EDUARDO SMITH SINGARES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084A2900X	Neurocritical Care Physician	MD60993057	WA
2	2084A2900X	Neurocritical Care Physician	036-117728	IL
3	208600000X	Surgery Physician	036-117728	IL
4	2086S0102X	Surgical Critical Care Physician	036-117728	IL
5	2086S0102X	Surgical Critical Care Physician	MD60993057	WA
6	208600000X	Surgery Physician	MD60993057	WA

General Provider Information

NPI Number	:	1477554756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDUARDO SMITH SINGARES M.D.

Provider Business Mailing Address
First Line	:	550 GAGE BLVD STE 101
Second Line	:
City	:	RICHLAND
State	:	WA
Zip	:	99352-9532
Country	:	US
Telephone Number	:	509-942-3627
Fax Number	:	509-627-2983

Provider Business Practice Location Address
First Line	:	888 SWIFT BLVD
Second Line	:
City	:	RICHLAND
State	:	WA
Zip	:	99352-3514
Country	:	US
Telephone Number	:	509-946-4611
Fax Number	:	509-942-2812

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	01/13/2022

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Directions to “ DR. EDUARDO SMITH SINGARES M.D.” Practice Location

Language	Start Address	Practice Location

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