Search › Idaho › 207Q00000X
Jacob Smith, MD
NPI 1265812796 · on the registry since 2015
Practice
- Address
- 1900 W Chinden Blvd
Meridian, ID 83646 - Phone
- (208) 809-2860
- Organisation at this address
- Alliance Medical Group, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-14
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