BRAD D SMITH, DO, PA

IDAHO FALLS, ID
NPI1336246701
Entity TypeOrganization
Authorized ContactBRAD D SMITH
President
208-542-2787
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
(Licence: ID  O-0374)
Enumeration Date2006-09-20
Last Update Date2010-08-12
Business Address
BRAD D SMITH, DO, PA
2805 VALENCIA DRIVE
IDAHO FALLS, ID 83404
Phone number: 208-542-2787
Mailing Address
BRAD D SMITH, DO, PA
3622 STONEBROOK LN
IDAHO FALLS, ID 83404-7903
Phone number: 208-542-2787