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Dr. Larry Smith is an emergency physician who practices in Washington State and has volunteered for First Descents since 2006. He is a cancer survivor and currently lives with his wife in the North Cascades town of Mazama, Wash. Originally from the Midwest, they bounced around the globe with the military for a few years before finally finding a suitable place to indulge their interests in various mountain sports and other outdoor pursuits. Dr. Smith has been serving as the Medical Director for First Descents since 2009.