Brad D Smith in Idaho Falls - Surgery

Brad D Smith - NPI 1144243767

Brad D Smith is a Surgery in Idaho Falls, Idaho. Brad D Smith practices all healthcare services and medical treatments related to Surgery. The NPI Number for Brad D Smith is 1144243767. The last update date is 2018-01-04.

Brad D Smith's current location address is 2805 Valencia Dr, Idaho Falls, Idaho. You can contact this provider via phone number 2085523184 and fax number 2085256151. The mailing address for Brad D Smith is 2805 Valencia Dr, Idaho Falls, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Brad D Smith
Address 2805 Valencia Dr, Idaho Falls, Idaho
Phone Number 2085523184
Fax Number 2085256151
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1144243767
Provider Enumeration Date 2006-07-25
Last Updated Date 2018-01-04

Provider Mailing Address Detail

Address 2805 Valencia Dr
City Idaho Falls
State Idaho (ID)
Post Code 834047597
Phone Number 2085523184
Fax Number 2085256151

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No O 0374
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
807431800 ID --

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FAQs about Brad D Smith

What is the unique 10-digit identifier code assigned to Brad D Smith by the Centers for Medicare & Medicaid Services?

The Brad D Smith has been issued the NPI (National Provider Identifier) 1144243767 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Brad D Smith is located?

The Brad D Smith is situated at the following address: 2805 Valencia Dr, Idaho Falls, ID, 834047597.

What is Brad D Smith's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Brad D Smith is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1144243767 to Brad D Smith?

The Centers for Medicare & Medicaid Services assigned the 1144243767 to Brad D Smith on 2006-07-25.

As of what date were the details related to Brad D Smith most recently updated or revised?

The information pertaining to Brad D Smith, including its address, specialty, and other relevant details, was last updated or revised on 2018-01-04.

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