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Dean Ty Smith, DO
Family Medicine Physician in Downey, Idaho
NPI 1144252099

Dean Ty Smith is a Family Medicine Physician based in Pocatello, ID. Dean Ty Smith practices in Downey, ID and has the professional credentials of DO. The NPI Number for Dean Ty Smith is 1144252099 and holds a License No. O-136 (Idaho).

The current practice location address for Dean Ty Smith is 79 N Main St, Downey, ID and can be reached out via phone at 208-897-5600 and via fax at 208-897-5603.

Location: 79 N Main St, Downey, ID, 83201-4880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144252099
Provider Name
Dean Ty Smith
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
79 N Main St, Downey, ID, 83201-4880
Phone Number
208-897-5600
Fax Number
208-897-5603
Provider Enumeration Date
07/07/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002812000 05 ID
institution
Provider Business Practice Location Address Details
Address
79 N Main St
City
Downey
State
Idaho
Zip
83234-4703
Phone Number
208-897-5600
Fax Number
208-897-5603
person
Provider Business Mailing Address Details
Address
79 N Main St
City
Downey
State
Idaho
Zip
83234-4703
Phone Number
208-897-5600
Fax Number
208-897-5603
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
O-136 (Idaho)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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