Individual
JOHN QUENTIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1906 FAIRVIEW AVE STE 400, CALDWELL, ID 83605-5424
(208) 459-4511
(208) 459-6602
Mailing address
1906 FAIRVIEW AVE STE 400, CALDWELL, ID 83605-5424
(208) 459-4511
(208) 459-6602
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M8626
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806427100
—
ID
Enumeration date
10/17/2005
Last updated
08/12/2024
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