Individual
DR. STEVEN ALAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4740 N PENNGROVE WAY STE 210, MERIDIAN, ID 83646-7447
(208) 514-0203
(855) 818-2019
Mailing address
4740 N PENNGROVE WAY STE 210, MERIDIAN, ID 83646-7447
(208) 514-0203
(855) 818-2019
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M10631
ID
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
M-10631
ID
Other
Enumeration date
10/17/2007
Last updated
01/30/2026
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