Organization
JOSHUA D SMITH AND ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA LEE EMERY (OWNER/DIRECTOR)
(208) 681-7133
Entity
Organization
Contact information
Practice address
540 3RD ST, IDAHO FALLS, ID 83401
(208) 529-3719
(208) 535-0942
Mailing address
540 3RD ST, IDAHO FALLS, ID 83401-3953
(208) 529-3719
(208) 535-0942
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002679100
—
ID
Enumeration date
03/08/2007
Last updated
06/13/2018
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