Individual
CHANCE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 CHANNING WAY STE A206, IDAHO FALLS, ID 83404-7586
(208) 529-2230
Mailing address
3200 CHANNING WAY STE A206, IDAHO FALLS, ID 83404-7586
(208) 529-2230
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3471067
ID
208600000X
Surgery Physician
Primary
94-10223
KS
Other
Enumeration date
05/19/2020
Last updated
06/09/2026
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