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1083731103
BARRY A. SMITH
LEWISTON, ID
NPI
1083731103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: ID O-0654)
Additional Taxonomies
208600000X Surgery
(Licence: PA OS013507)
Enumeration Date
2007-03-23
Last Update Date
2019-12-11
Business Address
BARRY A. SMITH D.O.
307 SAINT JOHNS WAY STE 4
LEWISTON, ID 83501-2435
Phone number: 208-743-7612
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Mailing Address
BARRY A. SMITH D.O.
307 SAINT JOHNS WAY STE 4
LEWISTON, ID 83501-2435
Phone number: 208-743-7612
Copy
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