Individual
DR. ALAN R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
56 E MAIN ST, REXBURG, ID 83440-1926
(208) 359-2313
(208) 359-2313
Mailing address
56 E MAIN ST, REXBURG, ID 83440-1926
(208) 359-2313
(208) 359-2313
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CHIA-681
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001287600
—
ID
Enumeration date
01/11/2007
Last updated
07/08/2007
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