Individual
DR. PAUL E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4042 EUREKA RIDGE RD, OROFINO, ID 83544-9547
(208) 476-7630
Mailing address
4042 EUREKA RIDGE RD, OROFINO, ID 83544-9547
(208) 476-7630
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M8178
ID
Other
Enumeration date
06/15/2005
Last updated
11/28/2007
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