MR. Ian Michael Smith, CPO
NPI #1497537898 in Longview, Washington
Provider Information
- NPI Number
- 1497537898
- Entity Type
- Individual
- Name
- MR. Ian Michael Smith, CPO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetist
- Credential
- CPO
- Enumeration Date
- Oct 19, 2023
- Last Updated
- Oct 19, 2023
Practice Location
- Address
- 1516 HUDSON ST STE 105
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-3046
- Phone
- (360) 423-6049
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthotist |
| Prosthetist |
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