Individual
SCOTT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W. FORT ST., VA MEDICAL CENTER, BOISE, ID 83702-4501
(208) 422-1325
(208) 422-1319
Mailing address
4444 W QUAIL RIDGE DR, BOISE, ID 83703-3836
(208) 422-1325
(208) 422-1319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M5245
ID
Other
Enumeration date
08/19/2006
Last updated
02/07/2011
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