Doctor Name: | DR. JARROD ALEXANDER SMITH |
NPI Number: | 1003119405 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | PO60217485 |
Business Practice Address: | 3131 Nassau St Suite 101 Everett, WA - 982014137 |
Business Phone Number: | 8015640550 |
Business Fax Number: | 4252586933 |
Mailing Address: | 3131 Nassau St, Suite 101 EVERETT |
State: | WA |
Postal Code: | 982014137 |
Phone Number: | 8015640550 |
Fax Number: | 4252586933 |
NPI Enumeration Date: | 12/07/2010 |
NPI Last Update Date: | 11/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | PO60217485 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |