SearchIdaho152WC0802X

Alan Smith, O.D

NPI 1942316054 · on the registry since 2006

Practice

Address
2100 12th Ave Rd
Nampa, ID 83686
Phone
(208) 467-5293
Fax
(208) 467-5359
Organisation at this address
Walmart Inc.
Wal-Mart Stores, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
152WC0802X
152WC0802X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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