Individual
NOAH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 ALTA VISTA ST, DUBUQUE, IA 52001-4327
(563) 258-2520
Mailing address
505 5TH ST SW, FARLEY, IA 52046-9527
(563) 258-2520
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/09/2020
Last updated
02/09/2020
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