Search › Idaho › 103T00000X
Derek Smith, PH.D
NPI 1144671884 · on the registry since 2016
Practice
- Address
- 2853 E Bent Tree Ln
Harrison, ID 83833 - Phone
- (208) 755-7393
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103T00000X
- Licence states on file
- ID, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho