EDWARD GREGORY SMITH

POCATELLO, ID
NPI1457502288
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy231H00000X Audiologist
(Licence: ID  HA-1052)
Enumeration Date2008-10-10
Last Update Date2008-10-10
Business Address
Mr. EDWARD GREGORY SMITH M.S., CCC-A
921 S 8TH AVE STOP 8116
POCATELLO, ID 83209-0002
Phone number: 208-282-3495
Mailing Address
Mr. EDWARD GREGORY SMITH M.S., CCC-A
1651 W SUNDANCE RD
POCATELLO, ID 83204-7418
Phone number: 208-233-3435