BRANDON SMITH

CHUBBUCK, ID
NPI1255947255
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  65705)
Enumeration Date2020-09-16
Last Update Date2020-09-16
Business Address
BRANDON SMITH NP-C
5067 CAMDEN ST
CHUBBUCK, ID 83202-3501
Phone number: 208-840-0044
Mailing Address
BRANDON SMITH NP-C
5067 CAMDEN ST
CHUBBUCK, ID 83202-3501
Phone number:
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