Individual
BRODI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2805 VALENCIA DR, IDAHO FALLS, ID 83404
(208) 535-8422
(208) 525-6151
Mailing address
2805 VALENCIA DR, IDAHO FALLS, ID 83404-7597
(208) 535-8422
(208) 525-6151
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
O-1114
ID
Other
Enumeration date
06/28/2013
Last updated
08/13/2018
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