person
Brett A Smith, PA-C
Medical Physician Assistant in Soda Springs, Idaho
NPI 1932180668

Brett A Smith is a Medical Physician Assistant based in Soda Springs, ID and is specialized in Medical. Brett A Smith practices in Soda Springs, ID and has the professional credentials of PA-C. The NPI Number for Brett A Smith is 1932180668 and holds a License No. PA-422 (Idaho).

The current practice location address for Brett A Smith is 300 S 3Rd W, Soda Springs, ID and can be reached out via phone at 208-547-3118 and via fax at 208-547-0424.

Location: 300 S 3Rd W, Soda Springs, ID, 83276-1559
person
Provider Profile Details
NPI Number
1932180668
Provider Name
Brett A Smith
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
300 S 3Rd W, Soda Springs, ID, 83276-1559
Phone Number
208-547-3118
Fax Number
208-547-0424
Provider Enumeration Date
11/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1548930878 05 ID
institution
Provider Business Practice Location Address Details
Address
300 S 3Rd W
City
State
Zip
83276-1559
Phone Number
208-547-3118
Fax Number
208-547-0424
person
Provider Business Mailing Address Details
Address
300 S 3Rd W
City
State
Zip
83276-1559
Phone Number
208-547-3118
Fax Number
208-547-0424
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-422 (Idaho)
Definition
Definition to come...
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