Smith Clinic P A | |
3669 Ellendale Cir Ammon ID 83406-4749 | |
(208) 521-5936 | |
(208) 524-5608 |
Full Name | Smith Clinic P A |
---|---|
Speciality | Family Medicine |
Location | 3669 Ellendale Cir, Ammon, Idaho |
Authorized Official Name and Position | Oliver D Smith (OWNER) |
Authorized Official Contact | 2085215936 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Smith Clinic P A 3669 Ellendale Circle Idaho Falls ID 83406 Ph: (208) 521-5936 | Smith Clinic P A 3669 Ellendale Cir Ammon ID 83406-4749 Ph: (208) 521-5936 |
NPI Number | 1891993713 |
---|---|
Provider Enumeration Date | 07/03/2007 |
Last Update Date | 02/21/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891993713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Idaho) | Primary |
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