Individual
DR. JESSIE DEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
115 S. 15TH, SUITE C, POCATELLO, ID 83201
(208) 232-7558
(208) 232-7549
Mailing address
115 S. 15TH, SUITE C, POCATELLO, ID 83201
(208) 232-7558
(208) 232-7549
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA809
ID
Other
Enumeration date
09/05/2006
Last updated
07/15/2013
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