SearchWashington101YA0400X

Edmund Smith, SUDP

NPI 1568192169 · on the registry since 2022

Practice

Address
16415 Smokey Point Blvd
Arlington, WA 98223
Phone
(425) 533-2552
Fax
(425) 366-8040
Organisation at this address
Holman Recovery Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-06-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington