| 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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