SearchIdahoPhysician Assistant

Taylor Smith, MSPH, PA-C

NPI 1912548421 · on the registry since 2019

Practice

Address
187 E 13th St
Idaho Falls, ID 83404
Phone
(208) 497-0500
Fax
(208) 497-0198
Organisation at this address
Healing Sanctuary Llc
Clinical Research Prime
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-10-06

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