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Individual

DR. GAYLE DIANE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
15622 N HIGHWAY 41, RATHDRUM, ID 83858-8710
(208) 687-4878
(208) 687-4879
Mailing address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2300
(208) 262-2349

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1943
ME
207Q00000X
Family Medicine Physician
Primary
O-0506
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1598779746
ID
Enumeration date
07/27/2006
Last updated
03/25/2025
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