BRODI SMITH

IDAHO FALLS, ID
NPI1447690904
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: ID  O-1114)
Enumeration Date2013-06-28
Last Update Date2018-08-13
Business Address
BRODI SMITH DO
2805 VALENCIA DR
IDAHO FALLS, ID 83404
Phone number: 208-535-8422
Mailing Address
BRODI SMITH DO
2805 VALENCIA DR
IDAHO FALLS, ID 83404-7597
Phone number: 208-535-8422
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