JACOB SMITH

COEUR D ALENE, ID
NPI1336004654
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  9471892)
Enumeration Date2025-12-18
Last Update Date2026-01-17
Business Address
JACOB SMITH CRNA
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-625-4000
Mailing Address
JACOB SMITH CRNA
101 W IRONWOOD DR STE D
COEUR D ALENE, ID 83814-1409
Phone number: