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1144243767
BRAD D SMITH
IDAHO FALLS, ID
NPI
1144243767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: ID O 0374)
Enumeration Date
2006-07-25
Last Update Date
2018-01-04
Business Address
-- BRAD D SMITH D.O.
2805 VALENCIA DR
IDAHO FALLS, ID 83404-7597
Phone number: 208-552-3184
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Mailing Address
-- BRAD D SMITH D.O.
2805 VALENCIA DR
IDAHO FALLS, ID 83404-7597
Phone number: 208-542-2787
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