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1043204746
SCOTT ALAN SMITH
AMMON, ID
NPI
1043204746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: ID O-257)
Enumeration Date
2005-09-08
Last Update Date
2020-11-19
Business Address
Dr. SCOTT ALAN SMITH D.O.
3067 EAGLE DR
AMMON, ID 83406-1273
Phone number: 208-522-4600
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Mailing Address
Dr. SCOTT ALAN SMITH D.O.
3067 EAGLE DR
AMMON, ID 83406-1273
Phone number: 208-522-4600
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