Individual
MICHAEL BRIAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NMD, MS
Contact information
Practice address
1547 MIDWAY AVE STE B, AMMON, ID 83406-6912
(208) 252-5188
(844) 556-5990
Mailing address
2184 CHANNING WAY # 323, IDAHO FALLS, ID 83404-8034
(208) 252-5188
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NMD-0074
ID
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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