Individual
DR. CHRISTY LYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
520 S EAGLE RD STE 1241, MERIDIAN, ID 83642-6355
(208) 381-6930
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
64688-20
WI
208600000X
Surgery Physician
Primary
M-16519
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/25/2014
Last updated
05/10/2022
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