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1891993713
SMITH CLINIC P A
AMMON, ID
NPI
1891993713
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Entity Type
Organization
Authorized Contact
OLIVER D SMITH
Owner
208-521-5936
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2007-07-03
Last Update Date
2008-02-21
Business Address
SMITH CLINIC P A
3669 ELLENDALE CIR
AMMON, ID 83406-4749
Phone number: 208-521-5936
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Mailing Address
SMITH CLINIC P A
3669 ELLENDALE CIRCLE
IDAHO FALLS, ID 83406
Phone number: 208-521-5936
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