Individual
DR. EDWARD D. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 BEVER GRADE ROAD, LAPWAI, ID 83540-0367
(208) 843-2271
(208) 621-4995
Mailing address
PO DRAWER 367, LAPWAI, ID 83540-0367
(208) 843-2271
(208) 621-4995
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60056542
WA
Other
Enumeration date
10/03/2006
Last updated
07/28/2020
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