IndividualActive
Andrew Smith
NPI 1891158762 · Internal Medicine Physician · Puyallup, WA
Provider details
- NPI number
- 1891158762
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- OP61097294 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
827 22nd St Sw
Puyallup, WA 98371-8701
Phone: (253) 720-5744
Approximate (ZIP-level) locationGet directions
Mailing address
827 22nd St Sw
Puyallup, WA 98371-8701
Registry dates
- Enumerated
- 2016-03-29
- Last updated
- 2021-09-17
- Certified
- 2021-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.