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1215165469
JERRY B SMEDLEY
IDAHO FALLS, ID
NPI
1215165469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: ID O-0655)
Enumeration Date
2009-06-26
Last Update Date
2020-04-15
Business Address
DR. JERRY B SMEDLEY D.O.
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Phone number: 208-227-2001
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Mailing Address
DR. JERRY B SMEDLEY D.O.
439 SPRING MEADOWS DR
IDAHO FALLS, ID 83404-7682
Phone number: 208-932-2762
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