SearchIdaho363A00000X

Samantha Smith, PA-C

NPI 1992270557 · on the registry since 2018

Practice

Address
1000 E Park Blvd
Boise, ID 83712
Phone
(208) 871-0644
Clinicians at this address
13

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-02-17

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