Scott Alan Smith D.O.

NPI 1043204746 - Pediatrics - 208000000X

NPI Details
NPI 1043204746
Gender Male
Enumeration Date 09/08/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
2375 CORONADO ST
IDAHO FALLS ID, 83404-7407, US
Phone (208) 522-4600
Fax (208) 552-7521
Business Location
2375 CORONADO ST
IDAHO FALLS ID, 83404-7407, US
Phone (208) 522-4600
Fax (208) 552-7521
Toxanomy
Taxonomy Code 208000000X
License State Idaho
License Number O-257
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According to our database, Dr. Scott Alan Smith D.O. NPI is 1043204746, taxonomy code is 208000000X and license number is O-257, license state is located at Idaho. Scott Alan Smith D.O. physically located at 2375 Coronado St, Idaho Falls ID, 83404-7407. NPI Number Scott Alan Smith D.O. has the Individual type.

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1043204746 NPI number is provided on an as is basis without warranty of any kind. 1043204746 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Alan Smith D.O. are for informational purposes only.