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NPI Code Detail

MEDICARE: TODD M SMITH ARNP

MEDICARE: TODD M SMITH ARNP
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
1363L00000XNurse PractitionerAP30006301WA

General Provider Information

NPI Number : 1801869664
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD M SMITH ARNP
Provider Business Mailing Address
First Line : 611 N IRON BRIDGE WAY
Second Line :
City : SPOKANE
State : WA
Zip : 99202-4932
Country : US
Telephone Number : 509-444-8888
Fax Number : 509-444-7806
Provider Business Practice Location Address
First Line : 15812 E INDIANA AVE
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99216-1875
Country : US
Telephone Number : 509-444-8200
Fax Number : 509-434-0392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 04/19/2022

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Directions to “ TODD M SMITH ARNP” Practice Location

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