JASON SMITH

MERIDIAN, ID
NPI1699290296
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2116)
Enumeration Date2017-08-04
Last Update Date2022-08-10
Business Address
JASON SMITH PA
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642-6457
Phone number: 208-884-3376
Mailing Address
JASON SMITH PA
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642-6457
Phone number: 208-884-3376