Individual
BARRY A. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
307 SAINT JOHNS WAY STE 4, LEWISTON, ID 83501-2435
(208) 743-7612
Mailing address
307 SAINT JOHNS WAY STE 4, LEWISTON, ID 83501-2435
(208) 743-7612
(208) 746-4802
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
O-0654
ID
208600000X
Surgery Physician
OS013507
PA
Other
Enumeration date
03/23/2007
Last updated
12/11/2019
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