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Individual

DR. REBECCA A SMILEY-LEIS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
809 N LIBERTY ST, BOISE, ID 83704-8703
(208) 327-0627
(208) 376-5258
Mailing address
809 N LIBERTY ST, BOISE, ID 83704-8703
(208) 327-0627
(208) 376-5258

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P130
ID

Other

Enumeration date
05/24/2006
Last updated
07/08/2007
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