Individual
COURTNEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3280 E LANARK DR, MERIDIAN, ID 83642-5982
(208) 377-4400
(208) 377-4416
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1367
ID
Other
Enumeration date
08/05/2016
Last updated
02/11/2025
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