Individual
MR. DYLAN E SCHMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAL, LAT, ATC
Contact information
Practice address
1910 UNIVERSITY DRIVE, BOISE, ID 83725
(509) 953-1398
Mailing address
PO BOX 75, ENDICOTT, WA 99125
(509) 953-1398
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-546
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT-546
IDAHO STATE BOARD OF MEDICINE
ID
Enumeration date
10/20/2016
Last updated
10/20/2016
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