Individual
BRENDON PATRICK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
160 HERITAGE WAY STE 202, KALISPELL, MT 59901-3127
(406) 752-8433
(406) 756-6768
Mailing address
160 HERITAGE WAY, SUITE 202, KALISPELL, MT 59901
(406) 752-8433
(406) 756-6768
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53218
MT
390200000X
Student in an Organized Health Care Education/Training Program
MED-RES-LIC 51857
MT
Other
Enumeration date
05/22/2014
Last updated
11/27/2023
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