Individual
SHERI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
32 W 1ST S, REXBURG, ID 83440-1810
(208) 356-8883
Mailing address
PO BOX 977, REXBURG, ID 83440-1039
(208) 270-6445
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/10/2022
Last updated
07/10/2022
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