Individual
DR. STEPHEN PAUL SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1130 W PRAIRIE AVE, COEUR D ALENE, ID 83815-8780
(208) 209-0288
(208) 209-0289
Mailing address
1130 W PRAIRIE AVE, COEUR D ALENE, ID 83815-8780
(208) 209-0288
(208) 209-0289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M-15717
ID
207Q00000X
Family Medicine Physician
Primary
MD61081789
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD61081789
DEPARTMENT OF HEALTH
WA
Enumeration date
06/19/2018
Last updated
04/26/2024
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