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1336246701
BRAD D SMITH, DO, PA
IDAHO FALLS, ID
NPI
1336246701
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Entity Type
Organization
Authorized Contact
BRAD D SMITH
President
208-542-2787
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: ID O-0374)
Enumeration Date
2006-09-20
Last Update Date
2010-08-12
Business Address
BRAD D SMITH, DO, PA
2805 VALENCIA DRIVE
IDAHO FALLS, ID 83404
Phone number: 208-542-2787
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Mailing Address
BRAD D SMITH, DO, PA
3622 STONEBROOK LN
IDAHO FALLS, ID 83404-7903
Phone number: 208-542-2787
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