Individual
RACHEL DEAN SMETANKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D. MPAS PA-C
Contact information
Practice address
600 MT HIGHWAY 91 S, DILLON, MT 59725-7379
(406) 683-3000
Mailing address
1120 CAHINA WAY, POCATELLO, ID 83204-4654
(435) 990-1272
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TLP-016
ID
Other
Enumeration date
11/14/2013
Last updated
10/22/2020
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