MICHAEL R SMITH

MERIDIAN, ID
NPI1942598446
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP-1084A)
Enumeration Date2011-07-18
Last Update Date2021-10-27
Business Address
MICHAEL R SMITH NP-C
3525 E LOUISE DR STE 195
MERIDIAN, ID 83642-6303
Phone number: 208-846-8335
Mailing Address
MICHAEL R SMITH NP-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-8866
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