DANIEL PHILIP WISER SMITH

IDAHO FALLS, ID
NPI1235454901
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207LP2900X Anesthesiology, Pain Medicine
(Licence: ID  O-0782)
Additional Taxonomies207L00000X Anesthesiology
(Licence: ID  O-0782)
207LP2900X Anesthesiology, Pain Medicine
(Licence: WA  OP60530576)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2010-04-06
Last Update Date2024-03-19
Business Address
Dr. DANIEL PHILIP WISER SMITH D.O.
3385 POTOMAC WAY
IDAHO FALLS, ID 83404-4978
Phone number: 208-522-7246
Mailing Address
Dr. DANIEL PHILIP WISER SMITH D.O.
2425 S 60TH E
IDAHO FALLS, ID 83406-8022
Phone number: 208-351-3214