Individual
ADAM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3080 E GENTRY WAY STE 210, MERIDIAN, ID 83642-3013
(208) 384-9022
Mailing address
3080 E GENTRY WAY STE 210, MERIDIAN, ID 83642-3013
(208) 384-9022
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
54498
AZ
207P00000X
Emergency Medicine Physician
Primary
M-14140
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2015
Last updated
11/20/2018
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