| Camille Smith Do Pa | |
|
464 Mahard Dr Twin Falls ID 83301-0275 | |
| (208) 421-0132 | |
| Not Available |
| Full Name | Camille Smith Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 464 Mahard Dr, Twin Falls, Idaho |
| Authorized Official Name and Position | Camille Smith (PHYSICIAN) |
| Authorized Official Contact | 2084210132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Camille Smith Do Pa 464 Mahard Dr Twin Falls ID 83301-0275 Ph: (208) 421-0132 | Camille Smith Do Pa 464 Mahard Dr Twin Falls ID 83301-0275 Ph: (208) 421-0132 |
| NPI Number | 1407246929 |
|---|---|
| Provider Enumeration Date | 02/04/2015 |
| Last Update Date | 02/04/2015 |
| Medicare PECOS PAC ID | 1254646318 |
|---|---|
| Medicare Enrollment ID | O20150818005760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407246929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | O-0503 (Idaho) | Primary |
| Provider Name | Camille Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598846826 PECOS PAC ID: 3375694102 Enrollment ID: I20090707000596 |
| Provider Name | Carisa D Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518515949 PECOS PAC ID: 0648699140 Enrollment ID: I20201002000672 |
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