Individual
JUSTIN LUKE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
850 W IRONWOOD DR STE 202, COEUR D ALENE, ID 83814-4903
(208) 664-2175
(208) 664-1226
Mailing address
850 W IRONWOOD DR STE 202, COEUR D ALENE, ID 83814-4903
(208) 664-2175
(208) 664-1226
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
O-1354
ID
207X00000X
Orthopaedic Surgery Physician
OS020063
PA
Other
Enumeration date
03/18/2014
Last updated
03/06/2025
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