MR. Edward Gregory Smith, M.S., CCC-A

NPI #1457502288 in Pocatello, Idaho

Provider Information

NPI Number: 1457502288
Entity Type: Individual
Name: MR. Edward Gregory Smith, M.S., CCC-A
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Audiologist
Credential: M.S., CCC-A
Enumeration Date: Oct 10, 2008
Last Updated: Oct 10, 2008

Practice Location

Address: 921 S 8TH AVE STOP 8116
City: Pocatello
State: Idaho
ZIP Code: 83209-0002
Phone: (208) 282-3495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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